Among the many acute intra-abdominal conditions which produce clinical problems, primary lesions of the appendices epiploicae are relatively rare. Because of this, the clinician or surgeon often does not consider lesions of these structures in the differential diagnosis of intra-abdominal disease. Consequently the clinical diagnosis of primary torsion, infarction or inflammation of the appendices epiploicae has, according to the literature on this subject, never been made. One must admit, however, that recognition of disease of these structures is very important from the standpoint of offering the patient an accurate prognosis. There are many variations from the typical picture, and often the clinical and laboratory findings are not sufficiently significant to be of any help in diagnosis. Our object in conducting this review was to discover, if possible, any facts that could add to our diagnostic acumen when confronted with the aforementioned conditions.
In 1936, Fiske1 was able to collect