JRM
Journal of Radiology in Medicine

Journal of Radiology in Medicine is an international journal that published original research and articles in all areas of radiology. Its publishes original research articles, review articles, case reports, editorial commentaries, letters to the editor, educational articles, and conference/meeting announcements.

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Case Report
Cecal epiploic appendagitis associated with a subhepatic appendix: a case mimicking acute appendicitis
Abstract
Epiploic appendagitis is a rare, benign, and usually self-limiting inflammatory condition caused by torsion or venous thrombosis of epiploic appendages. It can clinically mimic acute appendicitis. The aim of this study is to present a case of cecal epiploic appendagitis accompanied by a subhepatically located appendix that was confused with acute appendicitis in the preoperative period, and to emphasize the diagnostic features of this rare condition. A 26-year-old male patient presented to the emergency department with right lower quadrant pain that had persisted for approximately four hours. Physical examination revealed rebound tenderness in the right lower quadrant. Laboratory findings showed leukocytosis and elevated CRP. Preoperative computed tomography demonstrated inflammatory density increases in the pericecal fat tissue and an appendix measuring approximately 5.8 mm in diameter proximally and 5 mm distally, extending into the subhepatic space. Although the antimesenteric location of the lesion and the pericecal dirty appearance were suggestive of epiploic appendagitis, the atypical localization and positive rebound tenderness precluded a definitive differential diagnosis. Due to persistent clinical findings and radiological uncertainty, surgical intervention was performed. Intraoperative evaluation revealed a macroscopically normal appendix; however, inflamed epiploic appendages were identified adjacent to the cecum. Appendectomy was performed along with resection of the inflamed epiploic appendages. Histopathological examination confirmed the diagnosis of cecal epiploic appendagitis with no acute inflammation detected in the appendix. Cecal epiploic appendagitis may mimic acute appendicitis in the presence of an atypical appendix location, leading to diagnostic difficulty. In such cases, surgical exploration may be necessary for definitive diagnosis and treatment of accompanying inflammatory pathology.

Keywords : Cecal epiploic appendagitis, subhepatic appendix, acute appendicitis

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Article available in :
Volume 3, Issue 2, 2026
Page : 50-53
https://doi.org/10.51271/JRM-0050
Article Information
Received : 13 May 2026
Accepted : 22 Haz 2026
Published : 29 Haz 2026
Corresponding Author :

Nedim İzgi: Department of Radiology, Faculty of Medicine, Ufuk University Ankara, Turkiye

[email protected]
Citation : İzgi N, Osmanov İ. Cecal epiploic appendagitis associated with a subhepatic appendix: a case mimicking acute appendicitis. J Radiol Med. 2026;3(2):50-53. doi:10.51271/JRM-0050

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