Context: Chronic otitis media (COM), a major cause of hearing impairment and its associated morbidity and mortality can be avoided with proper diagnosis and planned management. High-resolution computerized tomography (HRCT) is accessible and possesses role in the detection of COM. Aims: This study aims to evaluate the role of HRCT as a diagnostic tool in the evaluation and planning of management of patients with COM. Settings and Design: Prospective observational study. Subjects and Methods: The study included 100 subjects presenting with COM planned for detailed otorhinolaryngological and otoscopic examination, pure tone audiomentry, non-contrast HRCT of bilateral temporal bones and were exposed to initial medical management of symptoms and surgical management. Statistical Analysis Used: Data were expressed as percentage and mean ± standard deviation Kolmogorov–Smirnov analysis was performed for checking linearity of the data. Fischer's exact test or Chi-square test was used to analyze the significance of the difference between frequency distribution of the data. Results: For soft tissue attenuation, HRCT was 100% sensitive and specific for the presence of soft tissue mass. HRCT found to be 100% accurate in predicting cholesteatoma presence and was found to be sensitive in the range of 83.3%–100% and specific in range 87.04%–100%. For bony erosion, HRCT was found to be fairly accurate. These comparisons were found to be highly significant with P< 0.0001. Conclusions: HRCT of the temporal bone in subjects with COM can be a gold standard tool for diagnosis, surgical interventions, and follow-up.

The term “Intra-Abdominal Focal Fat Infarction” (IFFI) encompasses a range of conditions where infarction of fatty tissue is the underlying pathological process, including Epiploic appendagitis, omental infarction, fat necrosis related to trauma or pancreatitis as well as rarer entities such as falciform ligament infarction. Uncomplicated IFFI is usually self-limiting and managed conservatively with oral antiinflammatory therapy. Rarely complications such as liquefaction and secondary abscess formation may arise with associated deterioration in symptoms and signs prompting a change in management including Laparoscopic resection or Percutaneous drainage. We present 3 cases of complicated IFFI with emphasis on the rarer Falciform ligament infarction with abscess formation.

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