Abstract
We reported the unusual case of a 39-year-old man, who presented to a private hospital located at Kuala Lumpur, Malaysia, with intense left iliac fossa abdominal pain. The diagnosis of acute epiploic appendagitis (EA) was made based on the computed tomography (CT) findings of a well-defined ovoid lesion of fat density at the junction of sigmoid and descending colon, with thin hyperdense rim, together with surrounding mesenteric fat, and thickening of the adjacent peritoneum. He was treated conservatively without surgery, and the pain subsided gradually. Our case reaffirmed that careful diagnosis is necessary to avoid invasive surgical interventions that are largely unnecessary as a treatment for acute EA.
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