Epiploic appendagitis

Case contributed by Dr Noyan Zenger

Presentation

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.

Patient Data

Age: 20
Gender: Male
CT

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 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.

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Case information

rID: 12760
Published: 7th Jan 2011
Last edited: 13th Aug 2019
Inclusion in quiz mode: Included

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