El Khoury A, Roustom M, Azar H, Chaer G, El Murr T (2019) Acute Epiploic Appendagitis: Report of Six Cases and Review of Literature. Int Arch Intern Med 3:012. doi:10.23937/2643-4466/1710012


© 2019 El Khoury A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

CASE REPORT | OPEN ACCESSDOI: 10.23937/2643-4466/1710012

Acute Epiploic Appendagitis: Report of Six Cases and Review of Literature

Antoine El Khoury, Majd Roustom, Henri Azar, Georges Chaer and Tony El Murr*

Department of Internal Medicine, Middle East Institute of Health, Lebanese University, Lebanon


Appendagitis has always been considered as a diagnosis of exclusion. Most of the times it is diagnosed incidentally. The majority of patients present flank pain, right and/or left iliac fossa pain with few other symptoms. These findings lead usually the physician toward a surgical disease. Imaging is very important to confirm the diagnosis of appendagitis and to avoid unnecessary hospitalizations and surgeries. In this article, we present five cases of acute appendagitis that have had nearly similar symptoms at presentation and while we were suspecting more severe diseases on their admission at emergency department (ER). The five patients received only medical treatment for their conditions and were discharged home the same day to be reviewed* few weeks later and showed complete resolution of the appendagitis on follow up imaging.