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Radiologic findings of epiploic appendagitis
1Eskisehir Osmangazi University Medical Faculty, Department of Radiology, Eskisehir, Turkey.
Medical Ultrasonography
|March 15, 2013
Summary
This case report highlights the typical ultrasound and CT imaging features of epiploic appendagitis, a condition involving colon inflammation. Conservative management led to a self-limited course in a patient presenting with localized abdominal pain.
Area of Science:
- Gastroenterology
- Radiology
- Surgical Pathology
Background:
- Epiploic appendagitis is an uncommon cause of acute abdominal pain, often mimicking other surgical emergencies.
- It results from torsion or venous occlusion of the epiploic appendages, leading to focal ischemia and inflammation.
Observation:
- A 44-year-old male presented with localized umbilical pain and rebound tenderness.
- Initial ultrasound revealed a hyperechoic mass with a hypoechoic rim.
- Computed tomography (CT) confirmed the diagnosis by demonstrating characteristic features of epiploic appendagitis.
Findings:
- The imaging findings were typical for epiploic appendagitis, showing a focal, ovoid, non-compressible fatty structure with surrounding inflammation.
- No complications such as perforation or abscess formation were identified.
Implications:
- Accurate identification of epiploic appendagitis on imaging can prevent unnecessary surgical intervention.
- Conservative management, including pain control and observation, is often sufficient for this self-limiting condition.
- Radiologists and clinicians should be aware of the characteristic imaging findings to facilitate timely diagnosis and appropriate patient care.
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