Epiploic appendagitis

Case contributed by Suraindra Mark Rajadurai
Diagnosis certain


Acute onset of left lower quadrant pain over the last 24h.

Patient Data

Age: 45 years
Gender: Female

A 2 cm ovoid fat density structure adjacent to the distal descending colon in the left abdomen, demonstrates a high density rim and surrounding inflammatory fat stranding. The bowel is otherwise normal.  

Incidental corpus luteum in the left ovary. Multi fibroid uterus. Trivial amount of free fluid in the pelvis.

Case Discussion

Epiploic appendagitis is not an uncommon cause of acute abdominal pain in the emergency department setting. 

This particular case is interesting in that the patient also had a left sided corpus luteum which when hemorrhagic can also be a relatively benign cause for acute abdominal pain. 

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