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Case Reports in Surgery
Volume 2018, Article ID 1924067, 3 pages
https://doi.org/10.1155/2018/1924067
Case Report

Epiploic Appendagitis Mimicking Recurrent Diverticulitis

Department of Surgery, Tufts Medical Center, 800 Washington Street, Boston, MA 02111, USA

Correspondence should be addressed to James Yoo; gro.retneclacidemstfut@ooyj

Received 6 December 2017; Accepted 27 March 2018; Published 11 April 2018

Academic Editor: Marcello Picchio

Copyright © 2018 R. Plummer et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Here, we report a case in which a patient with an extensive history of diverticulitis of the sigmoid colon presented with left lower quadrant abdominal pain similar to her previous episodes of diverticulitis. An initial diagnosis of diverticulitis was made based on her history and exam, intravenous antibiotics were given, and an elective surgical resection was considered. However, a subsequent CT scan revealed epiploic appendagitis with no evidence of diverticulitis. Though uncommon, in patients with a history of recurrent diverticulitis, alternative causes of left lower quadrant abdominal pain such as epiploic appendagitis should be considered as this may alter future treatment decisions.