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Case Reports
. 2025 Summer;25(2):144-147.
doi: 10.31486/toj.24.0123.

Incidental Finding of an Infarcted Epiploic Appendage Attached to the Sigmoid Colon

Ifeanyi K Uche  1 , Alec A Hirsch  2
Affiliations
Case Reports

Incidental Finding of an Infarcted Epiploic Appendage Attached to the Sigmoid Colon

Ifeanyi K Uche et al. Ochsner J. 2025 Summer.

Abstract

Background: Epiploic appendagitis is a condition usually caused by infarction of the epiploic appendages, small outpouchings of adipose tissue found on the serosal surface of the colon. Epiploic appendagitis is a rare cause of acute lower abdominal pain, but the condition does not have any specific presenting clinical features and is often misdiagnosed as acute diverticulitis, appendicitis, or other gastrointestinal disorder.

Case report: A 53-year-old female presented with abnormal uterine bleeding and pelvic pain and was seeking definitive surgical management. During the patient's total laparoscopic hysterectomy with bilateral salpingo-oophorectomy, an infarcted epiploic appendage attached to the sigmoid colon was found. An intraoperative general surgery consultation was obtained, and the infarcted epiploic appendage was laparoscopically excised.

Conclusion: This case provides information about epiploic appendagitis, a rare cause of abdominal pain that can clinically mimic other acute or subacute disorders. The goal is to increase awareness of this rare intra-abdominal condition.

Keywords: Abdominal pain; colon–sigmoid; epiploic appendagitis.

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Conflict of interest statement

The authors have no financial or proprietary interest in the subject matter of this article.

Figures

Figure.
Figure.
Laparoscopic views of the infarcted epiploic appendage on the sigmoid colon before excision.
See this image and copyright information in PMC

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References

    1. Suresh Kumar VC, Mani KK, Alwakkaa H, Shina J. Epiploic appendagitis: an often misdiagnosed cause of acute abdomen. Case Rep Gastroenterol. 2019;13(3):364-368. doi: 10.1159/000502683 - DOI - PMC - PubMed
    1. Idrissi MB, Akammar A. Diagnosing and treating epiploic appendagitis: a review of two cases. J Surg Case Rep. 2023;2023(3):rjad156. doi: 10.1093/jscr/rjad156 - DOI - PMC - PubMed
    1. Giambelluca D, Cannella R, Caruana G, et al. CT imaging findings of epiploic appendagitis: an unusual cause of abdominal pain. Insights Imaging. 2019;10(1):26. doi: 10.1186/s13244-019-0715-9 - DOI - PMC - PubMed
    1. Di Serafino M, Iacobellis F, Trovato P, et al. Acute epiploic appendagitis: a nonsurgical abdominal pain. Case Rep Emerg Med. 2019;2019:7160247. doi: 10.1155/2019/7160247 - DOI - PMC - PubMed
    1. Singh AK, Gervais DA, Hahn PF, Sagar P, Mueller PR, Novelline RA. Acute epiploic appendagitis and its mimics. Radiographics. 2005;25(6):1521-1534. doi: 10.1148/rg.256055030 - DOI - PubMed

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