Idiopathic segmental infarction of the greater omentum diagnosed by unenhanced multidetector-row CT and treated successfully by laparoscopy
Autor: | Roberta Cianci, Antonella Filippone, Storto Ml, Raffaella Basilico |
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Rok vydání: | 2007 |
Předmět: |
Adult
Male Abdominal pain medicine.medical_specialty Omental infarction Infarction Peritoneal Diseases Abdominal wall medicine Humans Radiology Nuclear Medicine and imaging Laparoscopy medicine.diagnostic_test business.industry Peritoneal fluid Middle Aged Greater omentum medicine.disease Abdominal Pain Surgery medicine.anatomical_structure Emergency Medicine Abdomen Female Radiology medicine.symptom Tomography X-Ray Computed business Omentum |
Zdroj: | Emergency Radiology. 15:51-56 |
ISSN: | 1438-1435 1070-3004 |
DOI: | 10.1007/s10140-007-0631-z |
Popis: | Idiopathic segmental infarction of the greater omentum is a rare disorder presenting with nonspecific clinical symptoms that may mimic a variety of acute abdominal conditions. We describe the diagnosis and treatment of two patients who had idiopathic infarction of the greater omentum and presented with localized abdominal pain, mimicking acute cholecystitis and acute diverticulitis, respectively. Patients underwent unenhanced multidetector-row computed tomography (CT) examination, which demonstrated the characteristic features of omental infarction, consisting of a heterogeneous density fatty mass, containing hyperattenuating streaks, located in the greater omentum, between the anterior abdominal wall and the colon; a moderate amount of free peritoneal fluid was also present. There were no other pathological abdominal findings. Giving persisting and worsening symptoms, both patients underwent laparoscopy with resection of the necrotic portion of the omentum. Pathology confirmed the preoperative diagnosis. Unenhanced CT allows us to obtain a reliable diagnosis of omental infarction in patients with acute abdominal pain and may help in selecting the appropriate medical or surgical therapy. |
Databáze: | OpenAIRE |
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