Epiploic appendagitis

Case contributed by Noyan Zenger
Diagnosis almost certain


Admitted to the emergency ward with a 3 days history of left lumbar pain. Physical examination revealed a low-grade fever and tenderness and defense with left lumbar localization; laboratory findings revealed a leukocytosis.

Patient Data

Age: 20 years
Gender: Male

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


Mass lesion with fat density with a hyperdense rim, anterior to the descending colon.

Case Discussion

Abdominal computed tomography work up showed a mass lesion with fat density anteriorly adjacent to the descending colon, with a hyperdense rim and surrounding stranding.  

Antibiotic treatment commenced after radiological assessment of epiploic appendagitis. Clinical improvement was seen on the ninth day from the onset of symptoms.

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