Torsion of epiploic appendages simulating acute appendicitis

Torsion of epiploic appendages is rare clinical condition which can mimic acute abdomen such as acute appendicitis, acute cholecystitis, diverticulitis or other cause of acute abdomen depending upon the location of torsion of appendage and degree of ischaemia. They pose a real clinical challenge to diagnose. We report three such cases who presented to us with acute pain in abdomen. Epiploic appendagitis often eludes the diagnosis preoperatively.

Keywords: Epiploic appendages, Acute appendicitis, Gangrene, Diagnostic laparoscopy.