Background

Epiploic appendices are pediculated, serosa-coated fat formations that are found on the outer surface of the colon, into the peritoneal cavity; their inflammation, torsion or infarction is also known as epiploic appendicitis or appendagitis.

Clinical case

We present the case of a 35-year-old man who went to the Emergency Service of the High Specialty Naval General Hospital because of sudden onset, progressive right iliac fossa pain, which was approached with laboratory and cabinet studies, integrating the diagnosis of probable acute appendicitis; surgical application sheets and informed consent were filled to perform open appendectomy, incidentally finding a cecal appendix 5 cm × 1 cm in diameter, with normal macroscopic characteristics, and infarction of ascending colon epiploic appendix at the ileocecal valve.

Conclusion

This case is presented to highlight the clinical characteristics of appendagitis or epiploic appendicitis, which can help clinicians suspect this benign pathology and reach the correct diagnosis, avoiding unnecessary surgical risk.