Epiploic appendagitis of the vermiform appendix
2 day history of right lower quadrant pain. No fever.
CT abdomen and pelvis
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CT shows an oval lesion of fat attenuation with a hyperattenuating rim and a central dot of high attenuation and surrounding fat stranding, this lesion is depending directly from the vermiform appendix. Curved reformatted CT image shows the relationship of the inflamed epiploic appendage to the vermiform appendix
Epiploic appendagitis is very common in the descending and sigmoid colon, however epiploic appendages are also present in the appendix, but the inflammation of them is very rare.
In this case is in the right so it is important to distinguish from an acute appendicitis to avoid unnecessary procedures.
- Magnuson A, Reber H, Reyna P et-al. Infarcted epiploic appendage of the vermiform appendix masquerading as acute appendicitis. S D Med. 2007;59 (12): 511, 513. Pubmed citation
- Purysko AS, Remer EM, Filho HM et-al. Beyond appendicitis: common and uncommon gastrointestinal causes of right lower quadrant abdominal pain at multidetector CT. Radiographics. 2011;31 (4): 927-47. doi:10.1148/rg.314105065 - Pubmed citation
- Chiou YY, Pitman MB, Hahn PF et-al. Rare benign and malignant appendiceal lesions: spectrum of computed tomography findings with pathologic correlation. J Comput Assist Tomogr. 2003;27 (3): 297-306. Pubmed citation