Epiploic appendagitis

Case contributed by Dr Jeremy Jones

Presentation

Left lower abdominal pain.

Patient Data

Age: Adult (middle age)
Gender: Male
CT

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
Case created: 2nd Mar 2010
Last edited: 17th Oct 2015
Inclusion in quiz mode: Included

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