Epiploic appendagitis

Case contributed by Dr Christophe Schepers

Presentation

Heavy cramps in hypogastrium. No fever.

Patient Data

Age: 35 years
Gender: Male
CT

Ovoid hypodense structure adjacent to the anterior aspect of the sigmoïd. Thin hyperdense rim with inflammatory fat stranding around the hypodense structure.
Discrete wall-thickening of the adjacent sigmoïd.  Also thickening of the peritoneum locally.

On coronal image a hyperdense center in the hypodense ovioid structure is visualized suggesting thrombosis of the inlying vascular structure(s).

Case Discussion

The imaging features are highly suggestive for epiploic appendagitis.

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