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. 2019 May 31;13(5):10–14. doi: 10.3941/jrcr.v13i5.3639

Table 2.

Differential diagnosis table of Epiploic Appendagitis in a Femoral Hernia.

Differential Diagnoses Computed tomography (CT) findings
Epiploic appendagitis within a femoral hernia High density ‘dot’ in a fat density centre, which is surrounded by a high attenuation rim and inflammatory changes. These changes are within a hernia with a ‘funnel shaped’ neck, protruding through the femoral ring, and sometimes compressing the common femoral vein.
Epiploic appendagitis within an inguinal hernia High density ‘dot’ in a fat density centre, which is surrounded by a high attenuation rim and inflammatory changes. These changes are within a ‘lateral crescent’ shape and extend anteromedially and inferiorly to the inferior epigastric vessels.
Appendicitis within a femoral hernia Dilated, inflamed appendix with a thick and enhancing periphery as well as thickening of the caecal apex.
These changes are within a right sided hernia with a ‘funnel shaped’ neck, protruding through the femoral ring, and sometimes compressing the common right femoral vein.
Colonic diverticulitis within a femoral hernia. Focal areas of pericolic inflammatory stranding adjacent to bowel diverticula.
These changes are within a hernia with a ‘funnel shaped’ neck, protruding through the femoral ring, and sometimes compressing the common femoral vein.