Presentation
Left lower quadrant pain.
Patient Data
Age: 45 years
Gender: Female
From the case:
Epiploic appendagitis
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Axial C+ portal venous phase
Stranding and inflammation surrounding a fat-density structure adjacent to the sigmoid colon in the left lower quadrant. No other acute findings.
Case Discussion
Classic case of epiploic appendagitis. Inflammatory stranding of a fat-density structure projecting from the sigmoid colon, which is a typical location. The central dot sign can be appreciated on the sagittal images. This can be differentiated from acute diverticulitis by the absence of diverticula in this location and classic appearance of central fat attenuation.
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