PMC7298552_01
US scans (A and B) showing a tubular structure in the right iliac fossa, with thickened wall and a central area of inhomogeneous echogenicity.
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Perilesional fluid layer was also detected (Fig. 1).
Coronal CT reconstructions after intravenous injection of contrast material (A) and hyperdense gastrointestinal contrast material administration (B and C) showing an hypodense tubular structure, 7 cm in length and 3 cm in width, strictly connected to a small bowel loop, with hyperdense thickened walls and perilesional fat strands into the adjacent mesentery (arrows).
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No other pathologic findings were identified in the abdomino-pelvic district (Fig. 2).
Surgical finding (A and B) after a laparotomic approach showing a mobile lesion connected to the small bowel mesentery by a fibrovascular pedicle. The lesion appeared as a fibrolipidic mass, showing vascular congestion due to the torsion around its pedicle causing the clinical onset.
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Therefore, the pedicle was clamped and the mass was excised (Fig. 3).