Q: What additional diagnoses should be considered given the history? show answer
Generalised abdominal pain. Left iliac fossa tenderness. No features of sepsis and no guarding. Passing flatus.
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Background sigmoid diverticulosis. Fat density lesion on the lateral aspect of the proximal-sigmoid colon with a central area of high attenuation and surrounding fat corruption; features consistent with epiploic appendagitis.
3 study questions available
Epiploic appendagitis is usually seen in middle-aged men with a history of diabetes. They are an important cause of abdominal pain since they are managed with supportive care only and do not require a laparotomy.