How does one get epiploic appendagitis?

JUST BAD LUCK: Epiploic appendices are small fat globules that hang from the sides of the colon, and they vary in size. If one of these happens to twist on its base (torsion, ) it can lead to lack of blood to the fat, which then dies. This causes pain, and can mimic other inflammatory processes, such as appendicitis, cholecystitis, or diverticulitis, and is discovered at the time of surgery. Good luck.