Epiploic appendagitis

Case contributed by Dr Ammar Haouimi

Presentation

Left paraumbilical pain with tenderness

Patient Data

Age: 30 years
Gender: Male
Ultrasound

There is an ill-defined non-compressible, hyperechoic area measuring (30 x 20 mm) adjacent to the wall of the proximal sigmoid colon and lateral to the left rectus abdominis muscle.

CT

 On CT, it appears as an ovoid structure of fat-density, adjacent to the proximal sigmoid colon with a thin peripheral hyperdense rim "hyperattenuating ring sign" and surrounding inflammatory fat stranding. A central hyperdense dot well-visualized on zoomed images which may represent a thrombosed vascular pedicle.

 

Case Discussion

Ultrasound and CT features of an epiploic appendagitis.

 

Additional contributor: ZE. Boudiaf, MD

PlayAdd to Share

Case information

rID: 82498
Published: 27th Sep 2020
Last edited: 28th Sep 2020
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.