Epiploic Appendagitis in a Young Adult Female: A Rare Cause of Acute Abdominal Pain

Epiploic appendagitis (EA) is an uncommon and frequently misdiagnosed cause of acute abdominal pain, typically affecting middle-aged males. This case report presents an atypical occurrence in a 32-year-old Hispanic female who presented with left lower quadrant pain, initially suspected to be diverticulitis or infectious colitis. Contrast-enhanced CT imaging revealed the characteristic findings of EA, a diagnosis that is rarely seen in young adult females. The patient was successfully treated through conservative measures and avoided unnecessary surgical interventions. This case emphasizes the importance of considering EA in the differential diagnosis of acute abdominal pain across diverse patient demographics. It also highlights the crucial role of contrast-enhanced CT imaging to accurately diagnose and treat EA. By increasing awareness of this condition among clinicians, we can improve diagnostic accuracy, reduce unnecessary interventions, and optimize patient care in cases of acute abdominal pain.