Omental infarction and its mimics: imaging features of acute abdominal conditions presenting with fat stranding greater than the degree of bowel wall thickening
M Tonerini, F Calcagni, S Lorenzi, P Scalise… - Emergency …, 2015 - Springer
M Tonerini, F Calcagni, S Lorenzi, P Scalise, A Grigolini, P Bemi
Emergency radiology, 2015•SpringerThe segmental omental infarction is a rare self-limited disorder presenting with aspecific
clinical symptoms that may mimic several acute abdominal conditions. Therefore, a correct
noninvasive diagnosis is important because treatment approaches range from monitoring to
surgery. As omental infarction results in an important fat stranding that is much greater than
the degree of bowel wall thickening, it suggests a narrower differential diagnosis:
appendicitis, diverticulitis, epiploic appendagitis, and mesenteric panniculitis. In this pictorial …
clinical symptoms that may mimic several acute abdominal conditions. Therefore, a correct
noninvasive diagnosis is important because treatment approaches range from monitoring to
surgery. As omental infarction results in an important fat stranding that is much greater than
the degree of bowel wall thickening, it suggests a narrower differential diagnosis:
appendicitis, diverticulitis, epiploic appendagitis, and mesenteric panniculitis. In this pictorial …
Abstract
The segmental omental infarction is a rare self-limited disorder presenting with aspecific clinical symptoms that may mimic several acute abdominal conditions. Therefore, a correct noninvasive diagnosis is important because treatment approaches range from monitoring to surgery. As omental infarction results in an important fat stranding that is much greater than the degree of bowel wall thickening, it suggests a narrower differential diagnosis: appendicitis, diverticulitis, epiploic appendagitis, and mesenteric panniculitis. In this pictorial essay, we point out the importance of imaging in identifying this typical sign allowing alternate diagnoses such as segmental omental infarction that can be conservatively managed.
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