Acute epiploic appendagitis is an uncommon cause of abdominal pain , that occurs secondary to torsion or spontaneous venous thrombosis of a draining vein from the serosal surface of the colon. Clinically, it is most often mistaken for acute diverticulitis.

Acute epiploic appendagitis is associated with obesity and hernia . Rarely, acute epiploic appendagitis may result in adhesion, bowel obstruction, intussusception, intraperitoneal loose body, peritonitis.

Epiploic appendagitis is a self-limiting disease that has been reported in approximately 1% of patients clinically suspected of having appendicitis .