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CT Appearance of Acute Appendagitis

Ajay K. Singh1,2, Debra A. Gervais1, Peter F. Hahn1, James Rhea2 and Peter R. Mueller1

1 Division of Abdominal Imaging and Interventional Radiology, Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114.
2 Department of Emergency Radiology, Massachusetts General Hospital, Boston, MA 02114.



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  		Fig. 1. —41-year-old man with left lower quadrant pain from acute epiploic appendagitis. Axial contrast-enhanced CT scan shows fat-density lesion with surrounding hyperdense rim and inflammation (arrow) abutting the distal descending colon.

 


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  		Fig. 2. —32-year-old man with right upper abdominal pain from acute epiploic appendagitis. Contrast-enhanced CT scan shows 6-cm-long inflamed epiploic appendagitis with surrounding inflammation (arrowheads) abutting ascending colon and right anterior abdominal wall musculature.

 


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  		Fig. 3. —47-year-old man with left lower quadrant pain due to acute epiploic appendagitis. Contrast-enhanced CT scan shows fat-density lesion with central focal hyperdensity and surrounding inflammation (arrowhead) abutting sigmoid colon-descending colon junction.

 


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  		Fig. 4. —61-year-old man with left lower quadrant pain from acute epiploic appendagitis. Contrast-enhanced CT scan shows central hyperdense focus (arrowhead) within inflamed appendix epiploica anterior to sigmoid colon.

 


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  		Fig. 5. —52-year-old woman with left lower quadrant pain from acute epiploic appendagitis. Contrast-enhanced CT scan shows fat-density lesion (arrow) with surrounding inflammation abutting sigmoid colon and anterior abdominal wall musculature.

 


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  		Fig. 6. —64-year-old woman with right flank pain from acute appendagitis. Contrast-enhanced CT scan shows fat-density lesion (arrow) with surrounding inflammation in ascending mesocolon.

 

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