Epiploic appendagitis

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Left lower abdominal pain.

Patient Data

Age: 30 years
Gender: Male
ct

There is an ovoid shape mass of fatty density, located anterior to the descending colon with central hyperdense areas representing most likely the thrombosed vascular pedicle. Surrounding inflammatory fat stranding with thickening of the adjacent peritoneal reflections as well as the colonic wall.

Case Discussion

CT features most consistent with an epiploic appendagitis.

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