Epiploic appendagitis

Case contributed by Dr Sarah Afify

Presentation

Right iliac fossa pain

Patient Data

Age: 40 years
Gender: Male
CT

There is an area of fat smudging anterior to the ascending colon, centered on a fat density area with a central dot sign. The findings most likely represent epiploic appendagitis with its thrombosed central vein.

Of note, bilateral extrarenal pelvis is incidentally seen.

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