title: Recurrent epiploic appendagitis mimicking appendicitis and cholecystitis.
abstract: Epiploic appendagitis (EA) is a rare cause of acute abdominal pain caused by inflammation of an epiploic appendage. It has a nonspecific clinical presentation that may mimic other acute abdominal pathologies on physical exam, such as appendicitis, diverticulitis, or cholecystitis. However, EA is usually benign and self-limiting and can be treated conservatively. We present the case of a patient with two episodes of EA, the first mimicking acute appendicitis and the second mimicking acute cholecystitis. Although recurrence of EA is rare, it should be part of the differential diagnosis of acute, localized abdominal pain. A correct diagnosis of EA will prevent unnecessary hospitalization, antibiotic use, and surgical procedures.
authors.affiliation: Department of Internal Medicine (Hearne) and Department of Radiology (Taboada), Baylor Scott & White Health; and the Texas A&M Health Science Center College of Medicine (Lorente).
authors.forename: Claudia
authors.initials: C
authors.lastname: Lorente
authors.affiliation: Department of Internal Medicine (Hearne) and Department of Radiology (Taboada), Baylor Scott & White Health; and the Texas A&M Health Science Center College of Medicine (Lorente).
authors.forename: Christopher B
authors.initials: CB
authors.lastname: Hearne
authors.affiliation: Department of Internal Medicine (Hearne) and Department of Radiology (Taboada), Baylor Scott & White Health; and the Texas A&M Health Science Center College of Medicine (Lorente).
authors.forename: Jorge
authors.initials: J
authors.lastname: Taboada