Efficacy of Medical Treatment in Primary Appendagitis Epiploica

Objective: Primary appendagitis epiploica is a rare cause of abdominal pain.Generally, it can be treated conservatively, and radiological imaging is important for diagnosis.The present study aimed to report the diagnosis, treatment, and follow-up results of patients diagnosed with primary appendicitis epiploica.Methods: This retrospective study included 31 patients diagnosed with primary appendagitis epiploica and treated medically between February 2015 and May 2021.The definitive diagnosis in all patients was made by computerized tomography (CT).The diagnosis of patients with suspected primary appendagitis epiploica on ultrasonography was confirmed by CT.The diagnosis, treatment, and follow-up results of the patients were evaluated.Results: Of the 31 patients, 14 were female and 17 were male, with a mean patient age of 42.03±13.58years.10 patients were hospitalized and 21 were treated as outpatients.Inpatients stayed in the hospital for a mean of 2.8±1.03days.Oral intake continued during hospitalization.None of the patients developed complications or were operated.Conclusion: Primary appendagitis epiploica is a rare condition characterized by self-limiting abdominal pain.It can be treated conservatively with the correct diagnosis.Further investigation is required for recurrent cases.