Epiploic appendagitis of the vermiform appendix

Case contributed by Dr David Cuete

Presentation

2 day history of right lower quadrant pain. No fever.

Patient Data

Age: 60
Gender: Male
CT

CT abdomen and pelvis

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 

Case Discussion

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.

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Case information

rID: 33603
Case created: 18th Jan 2015
Last edited: 22nd Aug 2016
Inclusion in quiz mode: Included

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