Epiploic appendagitis

Case contributed by Ammar Haouimi
Diagnosis almost certain

Presentation

Left lower abdominal pain.

Patient Data

Age: 40 years
Gender: Male
ct

Small ovoid structure of fatty density in the left iliac fossa, adjacent to the sigmoid colon with a thin peripheral high-density rim "hyperattenuating ring sign" and surrounding fat stranding. No significant thickening of the adjacent sigmoid wall.

A small simple hepatic cyst (7 mm) of segment 3.

Small umbilical hernia.

Case Discussion

CT features of an epiploic appendagitis of the sigmoid colon.

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