Torsion and necrosis of fat grafts of the colon is a fairly rare pathology in the structure of all emergency surgical diseases of the abdominal cavity and it is about 0.3 %. The absence of pathognomonic clinical manifestations makes it difficult to diagnose both at the pre-hospital and hospital stages. In a retrospective study of a clinical series of cases based on the 1st surgical department of the state institution “432 orders of the red Star main military clinical medical center of the Armed Forces of the Republic of Belarus” in the period from 2012 to 2018. The analysis of 34 medical records of inpatient patients with the disease of epiploic appendagitis, which made up the main group, was carried out. Comparison groups: 34 patients with acute appendicitis and 30 patients with functional bowel disorders. A common complaint among patients of the main group with epiploic appendagitis pathology was a pain syndrome in the abdominal area without a clear topographical localization in combination with various complaints of a General somatic nature, which confirms the non-specific manifestation of this disease. The results of clinical, laboratory and instrumental studies are non-specific, so the final method for diagnosing of epiploic appendagitis pathology it is laparoscopy.

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