Epiploic appendagitis

Case contributed by Ryan Thibodeau
Diagnosis almost certain

Presentation

Abdominal pain in left mid quadrant.

Patient Data

Age: 35 years
Gender: Male
ct

Fat density ovoid structure adjacent to the descending colon with thin high density rim and adjacent surrounding inflammatory fat stranding. Trace amount of free fluid along the left paracolic gutter and pelvis.

Case Discussion

This is a case of epiploic appendagitis with the characteristic hyperattenuating ring sign. The patient was discharged from the ED after a saline bolus with instructions to alternate acetaminophen and ibuprofen for pain management.

Co-author:
Jakob Dickson

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.