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Epiploic Appendigitis.

Park MHP - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Epiploic Appendigitis.

History: Patient is a 30 year old female who presented to the emergency department after 3 days of low abdominal pain. She denied vaginal bleeding and or changes in her menstral cycle. She denied vomiting and changes in bowel function or habits. She endorsed low grade fevers. Otherwise no medical problems and no surgical history.

Findings: There is a small focus of predominately fat attenuation on the anterior surface of the sigmoid colon. There is a moderate amount of fat stranding adjacent to the area. There are no areas of diverticulosis in the colon. The remainder of the fat was clean.

Ddx: 1. Epiploic Appendigitis 2. Diverticulosis.

Dxhow: The patient was released to home without antibiotic therapy with a diagnosis of epiploic appendigitis and resolved without treatment.

Exam: Physical exam was positive for diffuse lower abdominal pain to palpation. Her abdomen was soft and nondistended. Her pain was not in the classic McBurney's point location. Otherwise normal physical exam. Labs were normal except for a WBC count of 13.0 with a mild left shift.

No MeSH data available.


These images demonstrate a focal knuckle of fat attenuation material at the anterior aspect of the sigmoid colon.  There is some hyperemia adjacent to the abnormality as well as fat stranding.  The remainder of the fat is clean.
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MPX1206_synpic31368: These images demonstrate a focal knuckle of fat attenuation material at the anterior aspect of the sigmoid colon. There is some hyperemia adjacent to the abnormality as well as fat stranding. The remainder of the fat is clean.


Epiploic Appendigitis.

Park MHP - MedPix (2006)

These images demonstrate a focal knuckle of fat attenuation material at the anterior aspect of the sigmoid colon.  There is some hyperemia adjacent to the abnormality as well as fat stranding.  The remainder of the fat is clean.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1206&req=5

MPX1206_synpic31368: These images demonstrate a focal knuckle of fat attenuation material at the anterior aspect of the sigmoid colon. There is some hyperemia adjacent to the abnormality as well as fat stranding. The remainder of the fat is clean.

View Article: MedPix Image - MedPix Case

Affiliation: Madigan Army Medical Center

ABSTRACT

Diagnosis: Epiploic Appendigitis.

History: Patient is a 30 year old female who presented to the emergency department after 3 days of low abdominal pain. She denied vaginal bleeding and or changes in her menstral cycle. She denied vomiting and changes in bowel function or habits. She endorsed low grade fevers. Otherwise no medical problems and no surgical history.

Findings: There is a small focus of predominately fat attenuation on the anterior surface of the sigmoid colon. There is a moderate amount of fat stranding adjacent to the area. There are no areas of diverticulosis in the colon. The remainder of the fat was clean.

Ddx: 1. Epiploic Appendigitis 2. Diverticulosis.

Dxhow: The patient was released to home without antibiotic therapy with a diagnosis of epiploic appendigitis and resolved without treatment.

Exam: Physical exam was positive for diffuse lower abdominal pain to palpation. Her abdomen was soft and nondistended. Her pain was not in the classic McBurney's point location. Otherwise normal physical exam. Labs were normal except for a WBC count of 13.0 with a mild left shift.

No MeSH data available.