Epiploic appendagitis

Case contributed by Mate Kover
Diagnosis almost certain

Presentation

Left lower quadrant pain with a point of maximum tenderness in the rectosigmoid region.

Patient Data

Age: 30 years
Gender: Female
ultrasound

In the left lower quadrant, there is a nodular hyperechoic mass at the point of maximum tenderness, without internal vascularization, and with the surrounding hypoechoic line. No free fluid or bowel wall thickening was seen. These findings are characteristic of epiploic appendagitis.

Case Discussion

The patient had left lower quadrant pain, colitis was suspected, but the ultrasound showed focal fatty infiltration, with the characteristic findings of epiploic appendagitis.

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