Epiploic appendagitis: a clinically valuable imaging diagnosis

Abstract

Epiploic appendagitis occurs more commonly than previously thought and the clinical presentation can mimic other serious acute abdominal processes such as diverticulitis and appendicitis. Epiploic appendagitis can be confidently diagnosed via CT scan in nearly all cases. As a result of the accurate diagnosis unnecessary antibiotics, laboratory testing, dietary restrictions, surgical consultation, hospitalization, overtreatment, and unnecessary costs to the patient and health care system can be avoided. Patients with epiploic appendagitis can be conservatively managed as outpatients.