Presentation
Lower abdominal pain, nausea, and feeling unwell. Tenderness with guarding in the right iliac fossa, raised inflammatory markers, overweight. Assess for acute appendicitis.
Patient Data
Age: 30 years
Gender: Female
From the case:
Epiploic appendagitis
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Info
An area of acute inflammation of fat with a thin hyperattenuating rim close to the redundant sigmoid loop is noted in the right iliac fossa and at midline.
Case Discussion
Epiploic appendagitis is a self-limiting ischaemic/inflammatory process due to torsion of a large and pedunculated epiploic appendage, or spontaneous thrombosis of the venous outflow resulting in ischaemia and necrosis.
Differential diagnoses include diverticulitis, appendicitis, and omental infarction.
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