Epiploic appendagitis

Case contributed by Alborz Jahangiri
Diagnosis certain

Presentation

One week history of left iliac fossa pain.

Patient Data

Age: 35 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

ct

There is an approximately 4 x 2 x 1.5 cm fat density ovoid structure adjacent to the descending colon on the anterior and lateral border, with internal stranding and thickening of the adjacent pericolic gutter. The adjacent descending colonic wall is slightly thickened. 

Case Discussion

The appearances are in keeping with epiploic appendagitis. It can mimic diverticulitis.

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