Presentation
Acute abdominal pain (left lower quadrant).
Patient Data
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Fat-density ovoid structure in the left iliac fossa and abuts the sigmoid colon with surrounding inflammatory fat stranding.
Case Discussion
The findings of CT images are compatible with epiploic appendagitis.
Epiploic appendagitis is a rare self-limiting inflammatory / ischemic process involving an appendix epiploica of the colon and may either be primary or secondary to adjacent pathology. It is an important diagnosis to make as it avoids unnecessary surgery.