Does primer appendagitis epiploica require surgical intervention?

Abstract

BACKGROUND: Although primer appendagitis epiploica (PAE) is an acute condition, there is no consensus about a standard first-choice treatment. Different non-surgical and surgical interventions for PAE are available. METHODS: In this study, a total of 39 patients who were diagnosed as PAE between 2013-2018 were evaluated retrospectively concerning recurrences of the disease, medical intervention, and the requirement of hospitalization. USG and abdominal CT were used as diagnostic tools. Patients were also evaluated for a one-month and long-term follow-up. RESULTS: Of the 39 patients, 29 were male and 10 were female. Recurrence was seen in three patients at the earliest six months. These patients responded to medical treatment. CONCLUSION: Accurate diagnosis with the help of developing imaging methods has made non-surgical treatment a viable option in the treatment of PAE.