Important clinical and radiologic mimics of acute epiploic appendagitis include acute appendicitis, acute diverticulitis, and omental infarct.
By recognizing typical imaging features of epiploic appendagitis, the radiologist plays a central role in preventing needless surgery and facilitating appropriate, conservative management.
Epiploic appendagitis: The emergency department presentation.
Epiploic appendagitis and omental infarction: Pitfalls and look-alikes.
1) Epiploic appendagitis has a characteristic CT appearance described as an oval fatty mass measuring 1-4 cm in diameter of increased attenuation relative to normal fat.
Primary epiploic appendagitis' clinical presentation and CT appearance are similar to that of segmental omental infarction (SOI).
Differential diagnosis should also include secondary epiploic appendagitis, diverticulitis, appendicitis, and cholecystitis.
A clinicopathologic study of the epiploic appendages.
Primary epiploic appendagitis: Clinical, US, and CT findings in 14 cases.
Epiploic appendagitis, once thought to be a rare condition, is now more commonly diagnosed with the routine use of CT scans in the evaluation of abdominal pain.
Primary epiploic appendagitis: Evolutionary changes in CT appearance.