• A Daghfous, K Bouzaïdi, H Ayari, A Yahmadi, A Zoghlemi, and L Rezgui Marhoul.
• Service d'imagerie médicale, centre de traumatologie et des grands brûlés, avenue du Grand Mageb Nabeul 8000, Tunis, Tunisie. Electronic address: alifa_daghfous@yahoo.fr.
• Rev Med Interne. 2014 Sep 1;35(9):565-9.

IntroductionPrimary epiploic appendagitis is known to be a rare finding among causes of acute abdomen. Depending on location, it may mimic several disorders such as colonic diverticulitis and acute appendicitis. Diagnosis is sometimes performed during surgery.MethodsThis is a retrospective descriptive study. The authors report the contribution of imaging for the diagnosis of appendagitis in seven patients investigated between July 2010 and April 2013 by abdominal and pelvic ultrasound or computed tomography (CT).ResultsCT scan confirmed the diagnosis in six patients avoiding unnecessary surgery and hospitalization. The seventh patient was a pregnant woman in whom the diagnosis of appendagitis was made during surgery for appendicitis.ConclusionAppendagitis is a rare cause of acute abdominal pain. Outcome is favorable with medical treatment only. Abdominal ultrasound and CT are helpful diagnostic tests avoiding useless surgical procedure.Copyright © 2013 Société nationale française de médecine interne (SNFMI). Published by Elsevier SAS. All rights reserved.

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