Epiploic appendagitis - sigmoid colon

Case contributed by Ammar Haouimi ◉

Diagnosis almost certain

Diagnosis almost certain

Citation, DOI, disclosures and case data

Citation:

Haouimi A, Epiploic appendagitis - sigmoid colon. Case study, Radiopaedia.org (Accessed on 03 Oct 2023) https://doi.org/10.53347/rID-85024

DOI:

https://doi.org/10.53347/rID-85024

Permalink:

https://radiopaedia.org/cases/85024

rID:

85024

Disclosures:

At the time the case was submitted for publication Ammar Haouimi had no recorded disclosures.

View Ammar Haouimi's current disclosures

Case published:

12 Dec 2020

Revisions:

1 time, by 1 contributor - see full revision history and disclosures

Systems:

Gastrointestinal

Tags:

Institution:

Aurès Medical Imaging Center - Batna Algeria

Quiz mode:

Included

Presentation

Left lower abdominal pain.

Patient Data

Age: 55 years

Gender: Male

From the case: Epiploic appendagitis - sigmoid colon

ct

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portal venous phase"}],"caption":{"us":null,"gb":null},"findings":{"us":"","gb":""},"contributor_login":"ammar-haouimi","case_id":85024,"case_key_image_id":54050737,"case_featured_at":null},"current_user":null,"access":{"can_edit":false,"can_download":true,"can_feature":false,"can_pin":true}}

The CT scan shows the following features:

ovoid structure of fat-density in the left iliac fossa, adjacent to the sigmoid colon measuring (3.5 x 3.4 x 2 cm)
thin peripheral high-density rim "hyperattenuating ring sign"
no significant thickening of the adjacent colonic wall
surrounding inflammatory fat stranding with thickening of the adjacent peritoneum
central hyperdense dot is noted, representing most likely the thrombosed vascular pedicle

Hiatus hernia is noted.

Case Discussion

CT scans showing the classic features of an epiploic appendagitis of the sigmoid colon.

1 article features images from this case

Epiploic appendagitis

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