Epiploic appendagitis

Case contributed by Dr Jeremy Jones


Left lower abdominal pain.

Patient Data

Age: Adult (middle age)
Gender: Male

CT abdomen

CT scan with poor contrast opacification demonstrates a fat-density ovoid mass with surrounding inflammatory stranding in the left iliac fossa. It abuts the sigmoid colon. No free fluid or free gas visible. 

Annotated image

Annotated images

An epiploic appendage is seen as a rounded fat density structure (yellow dotted line) with extensive surrounding stranding. Centrally a dot is present (green arrow) representing the thrombosed vascular pedicle. 

Case Discussion

This case demonstrates the classical appearance of epiploic appendagitis. It is an important diagnosis to make as it avoids unnecessary surgery. The diagnosis can be made with confidence when imaging appearances are characteristic. 

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Case information

rID: 8829
Published: 2nd Mar 2010
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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