Epiploic Appendagitis: What Is It?
The word “appendage” refers to any part of the body other than the head or trunk. An appendix is a small pouch containing cells that are normally found in the stomach but which have been modified so they can grow into a ball-shaped organ called an appendix. These organs serve many purposes including being able to store food and fluid for later use. They may also function as a reservoir for harmful bacteria that cause infections in some people.
An appendix is not a disease; it’s just a normal structure with functions that are useful in certain situations. However, when these functions become abnormal, then the condition known as appendicitis (from the Greek meaning “to pierce”) occurs.
What Are The Symptoms Of Epiploic Appendagitis?
Symptoms of appendicitis include pain, burning or painful urination, and sometimes fever. Other symptoms may include abdominal cramps, nausea and vomiting. If left untreated, the infection can spread throughout your abdomen causing life threatening problems such as internal bleeding. When symptoms first appear they usually occur within one to two days after eating something that causes inflammation of the appendix.
What Is The Epiploic Appendagitis?
The epiploic appendagitis is not really a disease, but a condition that is caused by an infection in the small sacs that are responsible for storing extra nutrients and fat in your digestive system. These sacs are also known as the “epiploons.” They are located near the beginning portion of the large intestines and their walls are made up of layers of a special type of muscle fiber.
The epiploons are located near the beginning portion of the large intestines and their walls are made up of layers of a special type of muscle fiber. These sacs store extra nutrients and fat to be used later for nourishment. If the epiploons become infected, they may no longer be able to contract or expand which causes them to fill up with pus, blood, and other fluids.
This condition was first described by a British surgeon by the name of Thomas E. Southgate in 1883.
What Are The Causes Of Epiploic Appendagitis?
The causes of epiploic appendagitis are not entirely known at this time, however, certain factors such as overeating and consuming high-fat foods may contribute to it. Other risk factors include straining during bowel movements for extended periods of time, pregnancy and the use of certain medications such as antacids that reduce the amount of acid in the stomach.
How Is The Epiploic Appendagitis Diagnosed?
The epiploic appendagitis is typically diagnosed after the patient reports certain symptoms such as pain in the lower right portion of the abdomen, pain when urinating and other gastrointestinal complaints. A physical examination may also be performed in order to locate the source of pain. During the examination, the physician may tap on your stomach with his hands. This will help determine whether a mass is present within the organ that may be causing the pain.
The physician may also order an ultrasound of your abdomen to get a better idea if a mass is present or other tests such as a CT scan or an MRI in order to obtain more detailed images of the organs in the area. A rectal exam may also be performed in order to examine your bowel movements and other internal parts of the body. If the physician feels that an operation is necessary, a laparoscopy may be performed. This involves the use of a small camera that is inserted into your abdomen in order to examine the epiploons and other abdominal organs.
What Are The Treatment Options?
Treatment for epiploic appendagitis may include restricting your diet and taking medications in order to help soothe the pain caused by your condition. Rest and relaxation is also an important part of the treatment plan. If you are experiencing particularly severe pain, your physician may prescribe pain medication such as acetaminophen, ibuprofen or stronger drugs such as codeine.
If your condition has progressed to the extent that surgery is necessary, it is highly recommended that you undergo the procedure as soon as possible in order to avoid further complications.
The most common types of surgery that may be performed include an appendectomy or an extensive operation known as a laparotomy, which involves making a large incision in the patient’s abdomen. During the appendectomy, the epiploons may be removed by making an incision in the abdomen in order to access them. During a laparotomy, surgeons have more access to various organs during the operation and are able to reach more areas within the body.
Are There Any Risks Or Complications Associated With The Procedure?
There is always a risk of the condition becoming worse or that complications will occur during surgery. Possible complications include excessive bleeding, infection or a perforated bowel or stomach ulcer if you have eaten a meal shortly before the surgery.
The most common risk of the surgery itself is that not all of the epiploons are removed during the procedure. This may result in a condition known as cryptic appendicitis in which the appendages appear to be normal, however they are still causing an infection within the area.
What Are The Benefits Of Surgery?
Surgery provides the best chance of a full recovery from epiploic appendagitis. If the condition is allowed to progress without being diagnosed and treated, it can lead to serious complications or even death.
How Much Does The Procedure Cost?
The cost for this type of surgery will vary based on where you live, the complexity of the procedure and whether or not you have medical insurance. The average cost of a laparotomy is usually around $5,000 while an appendectomy is slightly less expensive. The cost of the procedure may be reduced if the patient is considered low-income and qualifies for financial aid.
What Is The Time Line For This Condition?
If you are experiencing symptoms related to this condition, it is vital that you seek medical attention immediately in order to avoid further complications. It is also important that you follow the instructions of your physician in order to ensure a positive outcome.
The time required for recovery from this procedure will depend on the type of surgery that you have undergone. A laparotomy requires more healing time than an appendectomy, so you may be required to stay in the hospital for one or two nights if the procedure is performed on an outpatient basis. If you have had an appendectomy, you should be able to return home on the same day.
In the weeks following your surgery, you should rest as much as possible and try to avoid physical exertion. You should also keep your wound clean and monitor it for signs of infection such as increasing pain, redness or swelling. If you notice any of these symptoms, you should contact your physician immediately.
What Is The Average Cost Of This Treatment?
The average cost of this treatment near me is around $35,000. The price can vary depending on where you live and the severity of your condition. Make sure to check with your insurance company to see if you’re covered.
What Are Some Alternative Treatments?
While this procedure is considered to be highly effective for treating epiploic appendagitis, there are some alternative treatments available that may be used in some cases. One treatment option is surgery that involves removing the infected part of the large bowel and reconnecting the ends of it. This procedure is less invasive and requires a shorter recovery time than the traditional surgery.
Another treatment option that may be suggested is the use of antibiotics. In some cases, an infection can be successfully treated with antibiotics such as ampicillin or metronidazole.
What Should You Expect With Recovery From This Procedure?
It typically takes around two weeks for the incision site to heal after surgery. The area will be sore and swollen for this period of time.
If you had a laparotomy, you will be required to rest for several weeks. Using your abdomen muscles or movements that cause pressure on the incision site should be avoided while it is healing.
While you should avoid strenuous activity immediately after either surgery, you can gradually increase your activity over time. You should return to your regular activities and work schedule within a month.
What Are The Risks Or Side Effects Of This Procedure?
All surgeries come with certain risks, such as infection or blood clots. It is important to follow all post-surgical instructions in order to ensure a full recovery.
While epiploic appendagitis is not typically considered an emergency, if you are experiencing severe pain accompanied by nausea and fever, seek medical attention immediately. These symptoms are a sign that the condition has worsened and immediate surgery may be required.
Sources & references used in this article:
Acute epiploic appendagitis and its mimics by AK Singh, DA Gervais, PF Hahn, P Sagar… – Radiographics, 2005 – pubs.rsna.org
Epiploic appendagitis–clinical characteristics of an uncommon surgical diagnosis by M Sand, M Gelos, FG Bechara, D Sand, TH Wiese… – BMC surgery, 2007 – Springer
Primary epiploic appendagitis: evolutionary changes in CT appearance. by PM Rao, J Wittenberg, JN Lawrason – Radiology, 1997 – pubs.rsna.org
Misdiagnosis of primary epiploic appendagitis by PM Rao, JT Rhea, J Wittenberg, AL Warshaw – The American journal of …, 1998 – Elsevier
Epiploic appendagitis: the emergency department presentation by EL Legome, AL Belton, RE Murray, PM Rao… – The Journal of …, 2002 – Elsevier
Primary epiploic appendagitis: clinical, US, and CT findings in 14 cases. by M Rioux, P Langis – Radiology, 1994 – pubs.rsna.org
Insights into epiploic appendagitis by WJ Schnedl, R Krause, E Tafeit, M Tillich… – Nature Reviews …, 2011 – nature.com
Primary epiploic appendagitis: US and CT findings by E Molla, T Ripolles, MJ Martinez, V Morote… – European …, 1998 – Springer