New Horizons in Translational Medicine,2017,1,1,13.
Introduction: Epiploic appendagitis is considered as a relatively uncommon surgical condition. We report our observational study which suggest that it is more common that appreciated. Case description: In a weekend on call, out of 4 patients undergoing diagnostic laparoscopy for suspected appendicitis, we encountered 2 clear cases of epiploic appendagitis. These patients had CT scan suggestive of inflammatory process in right iliac fossa; the inflammatory markers were elevated. Diagnostic laparoscopy revealed appendage epilpoicae as the culprit. Results and conclusions: Patients underwent appendicectomy and excision of the appendage with resolution of the symptoms. We conclude that this entity is much more common that appreciated. In cases of ser- osanguinous fluid in the abdomen and normal looking appendix, search should be undertaken not to overlook a torted appendage. Take-home message: The patients with epiploic appendagitis tend to look well; they are excruciately tender in the area overlying the appen- dage. Though self-resolving, if identified, the best option is to excise the appendage for early resolution of the symptoms.