Inflammatory Fatty Masses of the Abdomen

While omental infarction (OI) and acute epiploic appendagitis (AEA) often clinically mimic surgical abdomen, their management is distinct. As such, accurate and timely diagnosis is essential to follow medical management. Computed tomography and ultrasound imaging, utilized routinely in the evaluatio...

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Bibliographic Details
Published in:Seminars in ultrasound, CT, and MRI CT, and MRI, 2008-10, Vol.29 (5), p.378-385
Main Authors: Garg, Alpa G., MD, Singh, Ajay K., MD
Format: Article
Language:English
Subjects:
Abdomen - diagnostic imaging
Abdomen - pathology
Abdomen, Acute - diagnosis
Abdominal Pain - etiology
Acute Disease
Colon - diagnostic imaging
Colon - pathology
Colonic Diseases - complications
Colonic Diseases - diagnosis
Colonic Diseases - drug therapy
Diagnosis, Differential
Humans
Infarction - diagnosis
Infarction - drug therapy
Inflammation - diagnosis
Inflammation - drug therapy
Magnetic Resonance Imaging - methods
Omentum - diagnostic imaging
Omentum - pathology
Peritoneal Diseases - complications
Peritoneal Diseases - diagnosis
Radiography, Abdominal - methods
Radiology
Tomography, X-Ray Computed - methods
Ultrasonography
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Description
Summary:While omental infarction (OI) and acute epiploic appendagitis (AEA) often clinically mimic surgical abdomen, their management is distinct. As such, accurate and timely diagnosis is essential to follow medical management. Computed tomography and ultrasound imaging, utilized routinely in the evaluation of acute abdominal pain in the emergent setting, facilitate diagnosis and appropriate management of OI and AEA. The awareness of the clinical manifestations and imaging features of OI, AEA, and their mimics allow the radiologist to play a decisive role in triaging patients into surgical and medical management groups.
ISSN:0887-2171
1558-5034
DOI:10.1053/j.sult.2008.06.005