Presentation
2 day history of right lower quadrant pain. No fever.
Patient Data
Age: 60 years
Gender: Male
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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
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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