Published online Aug 6, 2014. doi: 10.5527/wjn.v3.i3.114
Revised: April 28, 2014
Accepted: May 28, 2014
Published online: August 6, 2014
Processing time: 229 Days and 15.8 Hours
Epiploic appendagitis (EA) is rare cause of acute or subacute abdominal pain in patients on peritoneal dialysis (PD), where the diagnosis can be challenging as the clinical features, laboratory markers and imaging characteristics have not been described previously in this group of patients. Here, we present the management of a case of EA in a patient on PD and review published literature pertinent to the subject. The importance of establishing the diagnosis early by laparoscopy is emphasised.
Core tip: The diagnosis and management of a patient with epiploic appendagitis (EA), who presents with acute abdominal pain, can be challenging. A high index of suspicion, exclusion of other causes of acute abdominal pain by computerised tomographic scan and an a low threshold for an early diagnostic laparoscopy is the way forward in establishing the diagnosis of EA and preservation of peritoneal dialysis catheter.