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A Rare Presentation of Epiploic Appendagitis as Chest Pain: A Case Report
Journal article   Open access   Peer reviewed

A Rare Presentation of Epiploic Appendagitis as Chest Pain: A Case Report

Thomas A Elimihele, Sachin Kumar, Ifelunwa M Osanakpo and Nkechi Akata
Curēus (Palo Alto, CA), Vol.16(6), e361987
06/09/2024
DOI: 10.7759/cureus.61987
PMCID: PMC11233124
PMID: 38983981
url
https://doi.org/10.7759/cureus.61987View
Published (Version of record) Open Access

Abstract

Epiploic appendagitis (EA) is an ischemic infarction of an epiploic appendage due to torsion or spontaneous thrombosis of the central vein of an epiploic appendage. It is a rare but benign and self-limiting cause of abdominal pain that is often misdiagnosed. The typical presentation of EA is lower abdominal pain, but pain can also occur in other parts of the abdomen. Presentation outside of the abdomen is a rare occurrence. Our patient presented with chest pain, and it was only through physical examination that mild right upper quadrant tenderness led to the suspicion of an intra-abdominal pathology, which was then confirmed with imaging. The patient responded to conservative management. Our possible explanation for this occurrence includes the proximity of the inflamed appendage to organs associated with chest pain and the possibility that patients sometimes describe pain location inaccurately.
 Gastroenterology Internal Medicine

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