A case of abdominal pain with a diagnosis of epiploic appendagitis
Monday, August 30th, 2021
Introduction: Abdominal pain is a common presentation in general practice and a systematic approach is required to exclude serious pathology and achieve an accurate diagnosis.
Case overview: We present a case of a 76-year-old male who complained of left lower quadrant abdominal pain to illustrate a systematic approach to managing diagnostic uncertainty. The patient was subsequently diagnosed with epiploic appendagitis (EA).
Discussion overview: Epiploic appendagitis can mimic other acute abdominal conditions including diverticulitis, omental infarction, and appendicitis. The recognition and early diagnosis of epiploic appendagitis helps to avoid unnecessary investigations and treatment.
- Abdominal pain is a common presentation in general practice and a systematic approach is important to exclude serious pathology and achieve an accurate diagnosis.
- Murtagh’s diagnostic framework and safety netting are effective strategies in managing diagnostic uncertainties.
- Epiploic appendagitis is a benign condition and an early diagnosis can prevent unnecessary investigations and treatment.