What's the most likely diagnosis?
- 41 year-old with left lower quadrant pain
Axial CT of Lower Abdomen
- Colonic polyp
- Shock bowel
- Pneumoperitoneum
- Epiploic appendagitis
- Absence of the kidneys
Additional Image - Another axial CT slice of lower abdomen
Additional Image
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Axial CT of Lower Abdomen
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Answer:
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4. Epiploic Appendagitis
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More (Click Discussion Tab)
Epiploic Appendagitis
General Considerations
- Uncommon cause of acute abdominal pain
- Occurs most often in men in 4th and 5th decade
- Inflammation of epiploic appendages (appendices)
- Peritoneal outpouchings originating from serosal surface of colon
- Contain blood vessels and fat
- Diagnosis requires cross-sectional imaging
- Inflammation may be caused by venous occlusion
- “Secondary” epiploic appendagitis is caused by inflammation of an adjacent structure
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