case_images: PMC7298552_01
case_images: 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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case_images: PMC7298552_01_gr1.jpg
case_images: fig0005
case_images: Perilesional fluid layer was also detected (Fig. 1).
case_images: 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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case_images: PMC7298552_01_gr2.jpg
case_images: fig0010
case_images: No other pathologic findings were identified in the abdomino-pelvic district (Fig. 2).
case_images: 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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case_images: PMC7298552_01_gr3.jpg
case_images: fig0015
case_images: Therefore, the pedicle was clamped and the mass was excised (Fig. 3).