Presentation
Acute pelvic pain.
Patient Data
Age: 40 years
Gender: Male
From the case:
Epiploic appendagitis
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Axial C+ portal venous phase

Sigmoid colon is redundant and there is ovoid fat density lesion with a high attenuation margin and surrounding fat stranding, adjacent to the sigmoid colon.
Case Discussion
Features are consistent with epiploic appendagitis that is a rare self-limiting ischemic/inflammatory process involving appendix epiploica of the colon and may either be primary or secondary to adjacent pathology.