Presentation
Left paraumbilical pain with tenderness
Patient Data
Age: 30 years
Gender: Male
From the case:
Epiploic appendagitis
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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.
From the case:
Epiploic appendagitis
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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-visualised 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
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