An Uncommon Cause of Acute Abdominal Pain: Primary Epiploic Appendagitis in the Emergency Setting release_ox4sawcg4nbyrpwygmewm5dvei

by Scott D. Casey, Joseph DiVito Jr., Jason B. Lupow, Reshma Gulani

Published in Einstein Journal of Biology and Medicine by Albert Einstein College of Medicine .

Volume 31, Issue 1&2 p17 (2017)

Abstract

In the emergency setting, the diagnosis of benign causes of acute abdominal pain can prevent unnecessary medical interventions. To illustrate this point, we report the case of a 28-year-old man who presented to the emer- gency department with symptoms suggestive of acute diverticulitis. Abdominal computed tomography (CT) established, instead, a diagnosis of primary epiploic appendagitis (PEA), which was managed expectantly. The patient's symptoms resolved within one week of hospital discharge and he remained free of pain at a five-month phone follow-up. Increased awareness of PEA and its self-limited course can help the emergency physician avoid unnecessary imaging studies and expectantly manage this cause of acute abdominal pain. 
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Date   2017-01-12
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