Primary Epiploic Appendagitis: 4 Case Report

Primary epiploic appendagitis of the colon is a rare cause of abdominal pain and is a self-limiting disease. Double contrast barium enema showed a smooth extrinsic compression located anterolateraly to the involved colon. Ultrasonography revealed a non-compressible echogenic ovoid mass attached to the colon wall. On abdominal CT, all lesions were seen as pedunculated ovel fatty masses with surrounding streaky densities connected to the serosal surface of the adjacent colon. Follow up CT performed 13-25(mean 18) days later showed that during this intrval, the volume of the mass and extent of surrounding infiltrations had decreased.