Epiploic appendagitis(EA) is a rare inflammatory condition that causes sharp stomach or abdominal pain.

This article explains the causes, symptoms, diagnostic methods, and treatment options for epiploic appendagitis.

They are also called omental appendices, fatty appendices of the colon, or appendices epiploicae.

Person laying down on couch with stomach pain

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This fatty tissue creates a membrane that drapes over the abdominal cavity.

What Causes Epiploic Appendagitis?

Epiploic appendagitis is typically triggered by twisting of the peritoneum.

This causes sharp, localized pain where the nodule attaches to the colon.

SEA is rarer than PEA.

EA can also present in the lower right quadrant.

Risk Factors: Who Gets Epiploic Appendagitis?

Almost anyone can get epiploic appendagitis.

Occurrence rates are slightly higher in male vs. female patients seen for abdominal pain at hospital emergency rooms.

How Is Epiploic Appendagitis Diagnosed?

Epiploic appendagitis is best diagnosed using a computed tomography (CT) scan.

Early diagnosis can improve treatment.

In general, epiploic appendagitis has a favorable prognosis.

Whats the Long-Term Outlook With Epiploic Appendagitis?

The outlook for someone with epiploic appendagitis is typically very good.

EA is self-limiting and usually resolves in fewer than 10 days without the need for surgery or hospitalization.

Summary

Dozens of tiny pouches called epiploic appendages are attached to the outside of your colon.

When one of these dangling appendages gets twisted, it causes inflammation and sharp abdominal pain.

The medical term for this condition is epiploic appendagitis (EA).

EA usually isn’t serious.

It tends to heal itself within about a week.

The recommended treatment is typically OTC anti-inflammatory drugs.

Early and accurate diagnosis via CT scan is key.

If you have EA, the goal is to avoid unnecessary surgery and hospitalization.

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