Omental Appendagitis: A Rare Cause of Acute Abdominal Pain

Omental appendagitis is an inflammation of the pedunculated fatty fringes of the colonic serosa, sometimes confused with appendicitis or diverticulitis. We report the case of a diabetic and hypertensive subject who underwent a cholecystectomy and a left inguinal hernia, was referred for abdominal pain associated with a pseudo-surgical abdomen with a positive inflammatory assessment and an abdominal CT scan in favor of acute appendagititis, and improved with level 2 anti-inflammatory steroid and analgesic treatment. Acute appendagitis constitutes a rare emergency for which therapies and downstream monitoring are specific.