Presentation
Heavy cramps in hypogastrium. No fever.
Patient Data
Age: 35 years
Gender: Male
From the case:
Epiploic appendagitis
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Info
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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