Patient was admitted to the emergency ward with three-day history of left lumbar pain. Physical examination revealed a low-grade fever and tenderness and defense with left lumbar localisation; laboratory findings revealed a leukocytosis.
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Mass lesion with fat density with a hyperdense rim, anterior to the descending colon.
Abdominal computed tomography work up showed a mass lesion with fat density anteriorly adjacent of 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.