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Acute Epiploic Appendagitis | Radiology Board Review Case

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CT appearance of Acute Epipolic Appendagitis and its differentials.
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Acute epiploic appendagitis presents as acute lower quadrant pain. Clinical features are similar to those of acute diverticulitis or, less commonly, acute appendicitis.

Differentials include acute omental infarction, mesenteric panniculitis, fatcontaining tumor, and primary and secondary acute inflammatory processes in the large bowel.

The CT features of acute epiploic appendagitis is that of an oval lesion 1.5–3.5 cm in diameter, with fat attenuation , surrounding inflammatory changes, abutting the anterior sigmoid colon wall.

This is a self limiting condition.

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‍♂ WHO AM I:
I'm Amar Udare, a radiology fellow training at McMaster University Canada. I have a passion for teaching and I believe in #FOAMrad Free Open Access Medicine Radiology.

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⏱Time Stamps:
0:00 Introduction
0:40 PACS based case images.
1:00 Description of imaging findings.
3:10 Pathophysiology of acute epiploic appendagitis.
10:30 Discussion of imaging findings and differentials for acute epiploic appendagitis .



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