Die spontane Fettgewebsnekrose von Omentum majus und Appendices epiploicae: Klinisches Bild, Ultraschall- und CT-Befunde

Hollerweger, Alois; Rettenbacher, Th.; Macheiner, Peter; Gritzmann, N.

doi:10.1055/s-2007-1015807

Cited by 23 publications

(14 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Larger size, more cake-like shape, absence of a surrounding hyperattenuating ring on CT examination, more medial location of the mass relative to the colon, and adherence of the inflamed fat to the abdominal wall, rather than to the colon, are presumed to favour omentum infarction over infarction of an epiploic appendage [9,10,15,28].…”

Section: Methodsmentioning

confidence: 99%

“…The main clinical symptom was (sub)acute localized pain in the left lower quadrant (LLQ) (n = 18), right upper quadrant (RUQ; n = 16), or the right lower quadrant (RLQ) (n = 6). Two patients had nausea and [10,15,23,28] vomiting. No patient had other complaints, such as diarrhoea or constipation, and none of the patients had fever.…”

Section: Clinical Findingsmentioning

confidence: 97%

“…Masses were situated anteriorly (n = 14), anteromedially (n = 13), anterolaterally (n = 11) or medially (n = 1) in relation to the ascending or descending colon. In 23 cases (59 %) the inflamed fat was more or less surrounded by a thin ring of higher density, presumably corresponding to thickened visceral peritoneal lining [9,15,21].…”

Section: Us and Ct Findingsmentioning

confidence: 99%

“…There is localized tenderness, and laboratory findings often include mild leucocytosis and an elevated erythrocyte sedimentation rate (ESR) [9,10,14,15]. Depending on their location, infarction of an epiploic appendage or omentum may mimic the clinical symptoms of appendicitis, diverticulitis or cholecystitis, and may therefore lead to an unnecessary operation.…”

Section: Introductionmentioning

confidence: 99%

“…Although several characteristic features of epiploic appendagitis have been described [9,21,22], in some cases it is not possible to discriminate it from omentum infarction with certainty. A recent report by Hollerweger et al did not make the discrimination between the two conditions, and coined the common denominator of spontaneous fatty tissue necrosis [15]. In view of the uncertain aetiology and the location, the name intra-abdominal focal fat infarction (IFFI) may describe the entity more precisely.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Infarction of omentum and epiploic appendage: Diagnosis, epidemiology and natural history

et al. 1999

View full text Add to dashboard Cite

Epiploic appendicitis and segmental omentum infarction are considered to be rare conditions, which may mimic an abdominal surgical emergency. The purpose of our study was to describe clinical findings, US and CT appearance of infarction of an epiploic appendage and omentum, and to determine their epidemiological characteristics and natural history. We retrospectively studied clinical, US and CT findings at hospital admission and follow-up of all patients who were diagnosed at our institution with epiploic appendicitis or omentum infarction between June 1988 and November 1997. We found a relatively high incidence of 40 cases: 20 patients with epiploic appendicitis, 11 with omentum infarction, and 9 in whom it was not possible to discriminate between the both. All 40 patients recovered under conservative treatment without complications. We conclude that US and CT features allow a reliable diagnosis, thereby obviating unnecessary surgery. Discriminating between both conditions is of no practical relevance since treatment and prognosis are identical.

show abstract

Section: Methodsmentioning

confidence: 99%