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 visualised suggesting thrombosis of the inlying vascular structure(s).

Case Discussion

The imaging features are highly suggestive for epiploic appendagitis.

PlayAdd to Share

Case information

rID: 56097
Case created: 11th Oct 2017
Last edited: 12th Oct 2017
Inclusion in quiz mode: Excluded

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.