Epiploic appendagitis

Case contributed by Dr Sameh Saied Ali

Presentation

Acute abdomen

Patient Data

Age: 32
Gender: Female
CT

Epiploic appendagitis

CT shows a mass-like lesion in the left iliac fossa with fat attenuation in relation to the sigmoid colon with surrounding hyperdense rim suggesting inflammatory changes of the adjacent mesenteric fat.
An additional finding of multiple mildly enlarged para-aortic lymph nodes.

CT

Well-defined oval shaped mass-like lesion in the right iliac fossa with fat attenuation and soft tissue density rim with stranding of the adjacent mesenteric fat planes.

Case Discussion

Typical findings of Epiploic appendagitis are well-defined mass-like lesion with fat attenuation related to a segment of the large bowel with inflammatory changes of the adjacent mesenteric fat planes.  

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Case information

rID: 36658
Case created: 3rd May 2015
Last edited: 2nd May 2017
Inclusion in quiz mode: Included

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