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Arch Surg. 2009;144(6):588.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Answer: Epiploic Appendagitis

After the dark mass was detached from the parietal peritoneum, a strangulated omental appendix became apparent and was constrained by 2 additional flanking appendices. After applying a loop to the neck of the appendix, it was removed. Pathological review of the specimen revealed fat necrosis and inflammatory cells within the omental appendix. The clinical course was uneventful, and the patient was discharged after 48 hours.

Omental appendices (also known as epiploic appendices or epiploic appendages) are peritoneal pouches that arise from the serosal surface of the colon. Composed of adipose tissue and blood vessels, they have an average length of 3 cm. Those next to the sigmoid colon are the largest. The term epiploic appendagitis was introduced in 1956 by Dockerty et al¹ to describe inflammation of these appendices. The main cause for inflammation and symptoms is torsion and/or strangulation of the appendages.²

On clinical examination, patients describe a . . . [Full Text of this Article]

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