Epiploic appendagitis
Presentation
Intense acute left iliac fossa pain.
Patient Data
Age: 50 years
Gender: Female
From the case:
Epiploic appendagitis
Ultrasound
Persistent echogenic fat seen in the left iliac fossa at the site of maximum probe tenderness.
From the case:
Epiploic appendagitis
CT
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Coronal non-contrast
Fat stranding is seen adjacent to descending colon with a fatty locule seen with surrounding hyperdense rim. Oblique MPR reveals the characteristic central hyperdense dot.
Case Discussion
This case illustrates the typical findings of epiploic appendagitis. The fat stranding is closely opposed to the colonic wall with no evidence of diverticula. Further, there is no adjacent bowel thickening.
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