Young male with severe pain in the left iliac region. USG shows a well defined hyperechoic noncompressible ovoid mass close to the colonic wall - where patient had maximum tenderness. No evidence of colonic wall thickening. Features S/O Epiploic appendagitis. Hypoechoic lesion appears to be the RING SIGN (as seen on CT); The ring represents thickening of the visceral peritoneum surrounding an inflamed epiploic appendix.
Case contributed by-
Dr Ravi Kadasne, Radiologist
Emirates International Hospital Al Ain, UAE