Epiploic appendix

Epiploic appendices are pedunculated adipose structures protruding from the serosal surface of the colon. An epiploic appendix might incidentally undergo infarction because of torsion or spontaneous venous thrombosis. The condition has been called epiploic appendagitis (van Breda Vriesman and Puylaert 2002). It is considered, as with omental infarction, a self-limited process, and the appropriate management is conservative. The inflamed mass is often delineated hy a hypoechoic ring on US. 

In colour Doppler, the altered epiploic appendix reveals no vascularisation, whereas the surrounding fat may be hypervascularized (Grattan-Smith et al. 2002). Usually, CT is also performed to verify this relatively rare diagnosis. Appendagitis is treated conservatively. Surgery can be avoided in this self-limiting disease. 

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See also in sourсe #XX -- [ ]

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