Epiploic appendagitis in pregnancy (MRI)

Case contributed by Dr Vikas Shah

Presentation

34/40 pregnant. Acute left lower quadrant pain and tenderness. No raised inflammatory markers. Inconclusive ultrasound.

Patient Data

Age: 25 years
Gender: Female

Anterior to the descending colon, and abutting it, is an ovoid structure with heterogeneous signal within and a thin rim of hyperintensity appreciated best on fat-suppressed images. There is also some hyperintensity within the adjacent abdominal wall. The colon itself looks normal. The appearances are consistent with epiploic appendagitis.

Physiologic hydronephrosis also noted.

Case Discussion

MRI enabled the diagnosis of epiploic appendagitis to be made, and the patient made an uneventful recovery. 

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