Epiploic appendagitis

Case contributed by Saad Ahmed Saad Hassan
Diagnosis almost certain

Presentation

Left flank pain and tenderness over the left iliac fossa.

Patient Data

Age: 30 years
Gender: Male
ct

Anterior to the distal descending colon, there is a small oval fatty mass with a thin high-density rim "hyperattenuating ring sign", surrounding inflammatory fat stranding, and thickening of the adjacent peritoneum.

No renal or ureteric calculi noted.

Case Discussion

CT findings are most consistent with epiploic appendagitis.

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