Epiploic appendagitis, an overlooked emergency in the daily practice

Introduction Acute epiploic appendagitis is an uncommon and easily misdiagnosed cause of acute abdominal pain. The diagnosis of epiploic appendagitis has clear clinical importance in patient management. In the case of acute abdominal pain, Radiology plays a critical role in the diagnosis of this condition, which often mimics other conditions that require surgical intervention. The aim of this article is to evaluate the frequency and presentation of acute epiploic appendicitis in our patient population and to remind them of this pathology. Materials and Methods Adult patients applied to the emergency department with acute abdominal pain and were evaluated with abdominal computed tomography (CT) between January 2022 and December 2022 were retrospectively analyzed. Patients were grouped according to the common causes of acute abdomen. The frequency and common presentation of epiploic appendagitis were researched. Results In the 1-year retrospective radiology database search, CT findings were consistent with epiploic appendicitis in 8 of 256 patients. The anamnesis, physical examination, and laboratory findings of these 8 patients were examined retrospectively. Conclusion Epiploic appendagitis is a rare but self-limiting cause of acute abdomen. In the management of acute abdominal pain, emergency physicians and radiologists should also remember this clinical situation in order to avoid unnecessary surgical interventions.