Appendices Epiploicae – Anatomy, Function & Clinical Importance (with Diagram)

 Appendices epiploicae (also called epiploic appendages) are small, fat-filled pouches that hang from the colon. Though often overlooked, these structures can become inflamed or twisted, mimicking serious abdominal conditions like appendicitis or diverticulitis.

This post offers a clear diagram and detailed explanation to help students understand the anatomical and clinical relevance of these fatty tags.

Small, finger-like fat-filled outpouchings of peritoneum along the teniae coli of the large intestine.
Small, finger-like fat-filled outpouchings of
 peritoneum along the teniae coli of the large intestine.


Anatomical Location

  • Found only on the colon (not on the rectum or small intestine)
  • Most numerous on the sigmoid colon and transverse colon
  • Attached along the teniae coli, especially near the free tenia (tenia libera)

Function

  • No well-defined physiological function
  • Believed to:

    Provide fat storage, Offer cushioning or mechanical protection, Possibly play a minor immunological role

Clinical Relevance

Epiploic Appendagitis:

  • Inflammation due to torsion or venous thrombosis
  • Presents with acute abdominal pain (can mimic appendicitis or diverticulitis)
  • Diagnosed via CT scan
  • Self-limiting and managed conservatively

 Visualize the colon and locate the teniae coli — appendices epiploicae hang along these bands. Diagrams with color-coded fat pouches help anchor this memory.

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