Epiploic appendagitis

Case contributed by Prashant Gupta
Diagnosis almost certain


Intense acute left iliac fossa pain.

Patient Data

Age: 50 years
Gender: Female

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.


Persistent echogenic fat seen in the left iliac fossa at the site of maximum probe tenderness.


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.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.