Presentation
Reduced colostomy output, vomiting and abdominal pain. Focal parastomal tenderness on examination.
Patient Data
Age: 60 years
Gender: Female
From the case:
Parastomal epiploic appendagitis
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Left lower quadrant loop colostomy with subcutaneous rounded fatty focus adjacent to the distal loop and surrounding inflammatory stranding. This is favored to represent epiploic appendagitis with a differential of fat necrosis.
Case Discussion
A probable case of epiploic appendagitis from a parastomal loop of bowel. The patient was discharged on oral NSAIDs.