Epiploic appendagitis

Case contributed by David Little

Presentation

Left lower quadrant pain ? diverticulitis ? appendicitis

Patient Data

Age: 30 years
Gender: Male
ct

There is an ovoid fat density with a rim of soft tissue and a central soft tissue dot in the left iliac fossa adjacent to the descending colon. There is surrounding inflammatory stranding. 

The appearance is in keeping with epiploic appendagitis.

Case Discussion

Epiploic appendagitis is a benign self-limiting process involving the epiploica of the colon. It can be safely managed conservatively. 

 

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