Can you clarify what epiploic appendagitis really is?

Twisted Fat on Colon: Epiploic appendices are teardrop shaped pieces of fat that everyone has attached to the outer wall of their large intestine. They can twist on themselves, leading to inflammation and pain in the abdomen. This is a benign and self-limiting problem that requires no treatment, however, it can be mistaken for other more serious problems, especially appendicitis when the pain is in the right-lower area.

See below: Epiploic appendages are fatty tissue that are on the outside of the colon. Sometimes they get twisted and can cause pain and fever. Usually this will not require surgery and will resolve with some antibiotics.