Epiploic appendagitis: An overlooked cause of acute abdominal pain

Table 1 Risk factors for primary epiploic appendagitis

Risk factor	Explanation
Obesity	Increased visceral fat enlarges epiploic appendages, predisposing them to torsion
Large or elongated epiploic appendages	Anatomical variations can increase the risk of pedicle twisting
Sudden or vigorous physical activity	Rapid body movements may induce torsion of appendages
Male gender	A higher prevalence is reported in men, with a ratio of up to 4:1 compared to women
Middle age (30-50 years)	Most cases occur during the fourth and fifth decades of life
Increased intra-abdominal pressure	Includes straining during constipation, heavy lifting, chronic coughing, or other causes of pressure spikes