Radiological Features of Epiploic Appendagitis and Segmental Omental Infarction

McClure, Mark J.; Khalili, Korosh; Sarrazin, Josée; Hanbidge, Anthony

doi:10.1053/crad.2001.0848

Cited by 56 publications

(32 citation statements)

References 7 publications

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“…In CT typically a pericolic fatty mass with an increased attenuation surrounded by a high-attenuation rim and focal stranding is detected. In contrast to diverticulitis, there is no thickening of the adjacent bowel wall [19].…”

Section: Discussionmentioning

confidence: 97%

Multi-slice spiral CT in routine diagnosis of suspected acute left-sided colonic diverticulitis: a prospective study of 120 patients

et al. 2003

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This prospective study evaluated the use of multi-slice CT (MSCT) for detection of clinically suspected left-sided colonic diverticulitis with regard to diagnosis, complications and alternative diagnoses. One hundred twenty patients with clinically suspected acute left-colonic diverticulitis underwent MSCT of the lower abdomen with IV contrast after rectal application of iodic contrast. The MSCT results were compared with histopathological and intraoperative findings or other radiological or endoscopic methods and clinical outcome. Acute diverticulitis was proven in 67 of the 120 (55.8%) patients, which was detected by MSCT with an accuracy of 98% (sensitivity 97%, specificity 98%). Contained perforation or abscess formation were detected with an accuracy of 96% (sensitivity 100%, specificity 91%) and 98% (sensitivity 100%, specificity 97%), respectively. In 31 of 120 (25.8%) patients diagnoses other than diverticulitis caused abdominal pain, which was correctly diagnosed by MSCT in 71%. The MSCT as well as other concurrently performed diagnostic methods showed normal findings and no causes for the patients symptoms in 22 of the 120 (18.4%) patients. Multi-slice CT is reliable in detecting diverticulitis, including extracolic complications, and often reveals other diagnoses; therefore, MSCT is recommended as standard diagnostic procedure in suspected acute diverticulitis.

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Section: Discussionmentioning

confidence: 97%

Multi-slice spiral CT in routine diagnosis of suspected acute left-sided colonic diverticulitis: a prospective study of 120 patients

et al. 2003

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“…Clinical features are nonspecific; the most common presenting symptom is acute pain in the right lower abdomen or, occasionally, the right upper abdomen, associated with mild fever and leukocytosis, without gastrointestinal symptoms such as nausea, anorexia, or vomiting. [1][2][3][4][5][6][7][8][9] The differential diagnosis includes almost any acute abdominal disorder such as appendicitis, cholecystitis, diverticulitis, epiploic appendagitis, or gynecologic problems. In some cases, the diagnosis is made at surgery for progressive peritonitis.…”

mentioning

confidence: 99%

Sonographic diagnosis of right segmental omental infarction

Bachar

Shafir

Postnikov

et al. 2005

J. Clin. Ultrasound

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“…Vascular thrombosis that ends up with infarction is typical. Hemorrhagic infarct histologically associated with fat necrosis, after that cellular infiltration and potential fibrosis and scar formation is typical (24,25). Because fibrosis, cellular infiltration and necrosis are seen in all IOPs they have pathologically similar features with IOI.…”

Section: Classification Of Acute Omental Infarction According To Etiomentioning

confidence: 99%

Isolated omental panniculitis: two case reports and review of literature

et al. 2017

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Isolated omental panniculitis (IOP), a rare form of acute abdominal syndrome, is defined as intraabdominal panniculitis that involves only omentum without extraabdominal fat necrosis, inflammatory bowel disease and pancreatitis. In the search made using PubMed English database, only 4 cases are determined with IOP. IOP is conceptually confused with idiopathic omental infarction (IOI). However, omental infarctions that are rare causes of acute abdominal syndromes were published by Bush for the first time in 1986 and less than 400 cases were reported. In this article we aimed to publish 2 IOP patients who applied with acute abdominal manifestation and were treated with laparoscopic omental resection to discuss the other 4 IOP cases comparing with IOP together with literature.

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Radiological Features of Epiploic Appendagitis and Segmental Omental Infarction

Cited by 56 publications

References 7 publications

Multi-slice spiral CT in routine diagnosis of suspected acute left-sided colonic diverticulitis: a prospective study of 120 patients

Multi-slice spiral CT in routine diagnosis of suspected acute left-sided colonic diverticulitis: a prospective study of 120 patients

Sonographic diagnosis of right segmental omental infarction

Isolated omental panniculitis: two case reports and review of literature

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