Introduction: Epiploic appendagitis (EA) is an unusual, benign and self-limited clinical condition. The diagnosis is made
by abdominal computed tomography (CT) and the treatment is conservative. The wrong diagnosis can lead to hospitalizations,
antibiotics and unnecessary surgical intervention.
Case report: Female patient, 38 years old, with abdominal pain in the left iliac fossa for 4 days. Laboratory exams with no
abnormalities, and abdominal tomography (CT) showed smearing of the anti-messenteric border and thickening of the adjacent
fascia. The diagnostic hypothesis of EA was made, analgesic and anti-inflammatory prescribed for home treatment, with complete
remission of the condition in 7 days.
Discussion and conclusion of the case: EA is a rare entity with low incidence, however it should be considered as a diagnostic
hypothesis when it comes to acute abdomen in the emergency. The diagnosis of early EA aims to avoid the use of medications and
unnecessary surgical intervention.