Abstract

A 7-year-old girl, presented to the pediatric emergency service with dull pain, localized in the right lower quadrant of the abdomen. After she was examined by emergency pediatricians, she had been consulted to our department by an acute abdomen pre-diagnosis. After our examination, she was operated due to the symptoms of acute abdomen. During surgery, the appendix vermiformis appeared non-inflamed. But in detailed abdomen exploration, primary epiploic appendagitis diagnosis due to the torsion of appendices epiploicae localized at the sigmoid colon was made. Primary epiploic appendagitis, an uncommon cause of acute abdomen; mimics surgical pathologies like acute appendicitis, acute cholecystitis, acute diverticulitis etc. So primary epiploic appendagitis is a pathology that needs to be kept in mind in differential diagnosis of acute abdomen.