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Epiploic Appendagitis

Case contributed by Farhad Farzam
Diagnosis almost certain

Presentation

Acute left lower quadrant pain

Patient Data

Age: 20 years
Gender: Male
ct

A small ovoid lesion of fatty density with a high-attenuation margin and mild surrounding fat stranding, adjacent to the distal descending colon in the left iliac fossa, representing epiploic appendagitis. 

Case Discussion

Epiploic appendagitis is an uncommon self-limiting ischemic/inflammatory process involving appendix epiploica of the colon, causing acute focal abdominal pain. 

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