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Doctor insights on: Surgery Epiploic Appendagitis

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What is done in a surgery for epiploic appendagitis?

What is done in a surgery for epiploic appendagitis?

Simple removal: The affected epiploic appendices is removed. It's just a twisted piece of fat that normally lies along the bowel. It can be misinterpreted as appendicitis or even cholecystitis. I do this laparoscopically as an outpatient, BUT if the pain is tolerable the piece of fat will resorb as it dies. More common than you might imagine; I see one every year or two. Good luck. ...Read more

Epiploic Appendagitis (Definition)

It's fatty tissue that hangs (appendage) off the colon. When it twists, it cuts off the blood supply and causes inflammation. It can present like appendicitis or diverticulitis but does not need surgery or antibiotics. Treatment is supportive i.E, pain ...Read more


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What exactly is done in surgery for epiploic appendagitis?

What exactly is done in surgery for epiploic appendagitis?

Look: There could be a laparoscopic look to find the epiploic appendage, a normal fatty structure that can become twisted. But if the condition is known, then surgery is not necessary. The surgery may be done to look for other conditions such as appendicitis. ...Read more

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What exactly is done in a surgery for epiploic appendagitis?

What exactly is done in a surgery for epiploic appendagitis?

Not surgical: Epiploic appendices are small, fat-filled sacs or finger-like projections along the surface of the upper and lower colon and rectum. They may become acutely inflamed as a result of torsion (twisting) or venous thrombosis. Epiploic appendagitis can cause severe pain and discomfort. Is self-limiting, and is generally treated with an anti-inflammatory and a moderate to severe pain medication. ...Read more

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What to do if I have epiploic appendagitis?

??: What symptoms are you having! How do you know you have this? Was a CT scan done? What is your WBC count? Sometimes this can be treated conservatively and sometimes may need surgery. See a surgeon. ...Read more

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Can you clarify what epiploic appendagitis really is?

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. ...Read more

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What is the recommended diet for epiploic appendagitis?

What is the recommended diet for epiploic appendagitis?

Not diet related: Epiploic appendagitis is inflammation of the fatty tissue hanging off the colon in the region of the appendix, and is not diet related per se. High fiber diet with copious fluids to keep stools soft is always recommended. ...Read more

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Can an epiploic appendagitis come back?

Yes: We're still unsure what causes it but one theory is that the fat appendage on the colon gets twisted which cuts off its blood supply. This can certainly recur but it's rare in the first instance and there isn't an increased risk for a second occurrence. ...Read more

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What is epiploic appendagitis?

What is epiploic appendagitis?

The great pretender!: Epiploic appendices are tear-drop shaped projections of fat that are attached to the outer wall of the large intestine. They have a propensity to twist, which may cut-off its blood supply and cause acute pain. This is a self-limiting condition that does not require any treatment. When this occurs on the right side, it is often mistaken for appendicitis, unless a skilled radiologist finds this on ct. ...Read more

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What causes epiploic appendagitis?

What causes epiploic appendagitis?

ASimpleTwist Of Fate: Epiploic appendeges are teardrop-shaped pieces of fat that are normally attached to the colon. Serendipitously, one can twist & cutoff it's blood supply, causing pain. Fortunately, this causes no further problems however this can be mistaken for other diseases like appendicitis or diverticulitis. Prior to ct, we often found this out in surgery; nowadays, this is often avoided. ...Read more

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Epiploic appendagitis? What's that?

Epiploic appendagitis? What's that?

The great pretender!: Epiploic appendices are tear-drop shaped projections of fat that are attached to the outer wall of the large intestine. They have a propensity to twist, which may cut-off its blood supply and cause acute pain. This is a self-limiting condition that does not require any treatment. When this occurs on the right side, it is often mistaken for appendicitis, unless a skilled radiologist finds this on ct. ...Read more

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What is epiploic appendagitis like?

Unexplained pain: The fingerlike fatty appendages can sometimes twist on themselves and constrict the blood supply. When this happens, one feels very localized pain until the distal portion dies off. They usually require no surgery unless they are mistaken for something else, when they can easily be amputated to make the pain better faster. But surgery is usually not necessary ...Read more

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How is epiploic appendagitis treated?

If your doctor: Could be absolutely certain that this is the cause of problems, it should resolve on its own. If it does not improve after two weeks, other causes are possible. Sometimes it is difficult to tell for sure. Follow up with your doctor until your symptoms resolve completely. ...Read more

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How can you get epiploic appendagitis?

Bad luck: Epiploic appendages are normal fingerlike projections of fat from the large intestine, in rare cases, they can torse (twist) and the end of them can lose blood supply and die off. They are difficult to diagnose, occasionally they are seen on CT scans. The treatment is usually simply pain control and time. Rarely need operation. They are sometimes mistaken for appendicitis. ...Read more

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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. ...Read more

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Anyone know what's epiploic appendagitis?

Anyone know what's epiploic appendagitis?

The great pretender!: Epiploic appendices are tear-drop shaped projections of fat that are attached to the outer wall of the large intestine. They have a propensity to twist, which may cut-off its blood supply and cause acute pain. This is a self-limiting condition that does not require any treatment. When this occurs on the right side, it is often mistaken for appendicitis, unless a skilled radiologist finds this on ct. ...Read more

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Do you know anything about epiploic appendagitis?

Appendix: Epiploica is fatty attachment to the external wall of colon. Rarely these can twist or infarct and cause pain, often mimicking acute appendicitis. Diagnosis is often difficult, even with CT imaging. If you had this condition and it has been treated, you should have no further problems. Ask your doctor for specific advice on this rare condition. ...Read more

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What is epiploic appendagitis and how do you treat it?

What is epiploic appendagitis and how do you treat it?

Fat: It is a twisted piece of fat on the colon. It can be diagnosed by cat scan and surgery is not usually necessary. ...Read more

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How common is it for somebody to get epiploic appendagitis?

Not common: This is a fairly difficult condition to diagnose, causing abdominal pains. It can be confused with appendicitis. Sometimes it can be seen on a ct scan. It is self limited and will resolve on its own without treatments or surgery. It is from presumed twisting of a small piece of fatty tissue that is attached to the outside of the colon or large intestine. ...Read more

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Could someone tell me how long epiploic appendagitis lasts?

Would depend?: Would depend on the treatment your received, the general health you are in, how long you had it prior to treatment and many other factiors. I wish your well and a speedy recovery. ...Read more

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Can you please tell me how long epiploic appendagitis lasts?

Varies: If the epiploic appendix involved is totally torsed and dies, pain would last several days to a couple weeks. If it's only partially twisted and continues to survive, it can hurt for weeks. I recently removed one that had been causing pain for several weeks. Fairly easy to resolve laparoscopically as an outpatient. ...Read more

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Is there anything about epiploic appendagitis to look out for?

Does pain change?: Epiploic appendagitis is an uncommon diagnosis. If you have been diagnosed with this disorder and your pain worsens, it would be best to be re-evaluated by a doctor. On its own, the disease is usually self limited and the treatment is nonoperative. ...Read more

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What is the definition or description of: epiploic appendagitis?

What is the definition or description of: epiploic appendagitis?

See below: It's fatty tissue that hangs (appendage) off the colon. When it twists, it cuts off the blood supply and causes inflammation. It can present like appendicitis or diverticulitis but does not need surgery or antibiotics. Treatment is supportive i.E, pain meds and perhaps nsaids. ...Read more

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Can unexplained abdominal pain be caused by epiploic appendagitis?

Maybe: But the pain of an inflamed epiploic appendage would be expected to only last a few days & would then fully resolve. Likely may not be see on a ct scan. It would not cause chronic abdominal pains for weeks or months. ...Read more

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My daughter has had two bouts of appendagitis. What are the probabilities of reoccurance?

My daughter has had two bouts of appendagitis. What are the probabilities of reoccurance?

Question confusing: If you mean appendicitis, it is treated with surgical removal and once gone cannot get inflamed again. Given you appear confused about the issue involved, we cannot provide any realistic estimate for a condition that is unexplained. Try finding out more from the treating docs and start over. ...Read more

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Am outside the u.s so if I want to have surgery wat can I do?

Am outside the u.s so if I want to have surgery wat can I do?

Consult a surgeon!: The US does not have a monopoly on surgeons. There are qualified surgeons everywhere in the world. Just as I would advise in the US, do a bit of research to try to find the best hospital in the area and a surgeon with good credentials. You may also want to get a second opinion.
One thing you will find is that surgery outside the US is probably much more affordable! ...Read more

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I had rk surgery in the 80, s and now need catarac surgery how will that go?

I had rk surgery in the 80, s and now need catarac surgery how will that go?

ORA: You may want to ask your surgeon about the ora (intraoperative aberrometer) which allows for intraoperative measurements for the implant after the cataract is removed. This may help to confirm the iol power, especially beneficial in patients with previous refractive surgery. ...Read more

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How popular in the u.S. Is labiaplasty and vaginoplasty surgery?

How popular in the u.S. Is labiaplasty and vaginoplasty surgery?

Labiaplasty: Labiaplasty, or cosmetic gynecology, is the fastest growing segment of cosmetic surgery in the U.S. The vast majority of women presenting for consideration of labiaplasty have normal genitalia. However, most women complain of discomfort with activities such as sports, bike riding, or during intercourse. Also, many do not like the appearance in certain clothes such as swimsuits, etc. ...Read more

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