Presentation
Left iliac fossa pain and tenderness since for 4 days.
Patient Data
In the left iliac fossa, there is a focal rounded hyperechoic lesion measured 1.4 x 0.9 cm, non-compressible, with no vascularity inside, surrounded by a hypoechoic halo and a central dot of hypoechoic indicative of a central thrombosed vein within the inflamed fatty lesion. It is located lateral to the distal descending colon, with a slightly thickened wall surrounding echogenic and thickened fat.
Case Discussion
According to its clinical symptoms, location in left iliac fossa, size, and sonographic imaging, mostly epiploic appendagitis.
DDx; omental infarction, usually larger, more located medial to bowel and in right iliac fossa.
Epiploic appendagitis is a self-limiting disease, it usually responds well to NSAIDs.
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