EURORAD ESR

Case 14176

Omental infarction

Author(s)
Dr. Abeer Ahmed Alhelali1 , Dr.Mohamed Issa Tawil2 , Dr.Mohamed Hobeldin3.
(1) MBBS, Arab board of radiology and medical imaging.
(2) MBBch, MRCP, DCH, DMRD, FRCR, MSc, Consultant Pediatric Radiologist.
(3) MBBch, MSC, MD, FRCS, Consultant Pediatrics Surgery.

Sheikh Khalifa Medical City
AbuDhabi, UAE

Abu Dhabi 00971 Abu Dhabi, United Arab Emirates; Email:aalhelali@seha.ae
 
Patient
male, 22 month(s)
 
 
  • Figure 1
    Plain x-ray abdomen frontal view

    Generalized, uniform, gaseous distension of the small and large bowel consistent with functional ileus.

     
    Area of Interest: Abdomen; Imaging Technique: Plain radiographic studies; Procedure: Imaging sequences; Special Focus: Acute;
     
     
  • Figure 2
    Ultrasound abdomen
     

    Non-compressible lentiform echogenic area located immediately beneath the anterior abdominal wall and anterior to the bowel in the right lower quadrant.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Imaging sequences; Special Focus: Acute;

    Doppler ultrasound shows lack of colour flow within the echogenic area.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound-Colour Doppler; Procedure: Imaging sequences; Special Focus: Acute;

    Ultrasound image of right lower quadrant shows a small amount of free fluid.

     
    Area of Interest: Abdomen; Imaging Technique: Ultrasound; Procedure: Imaging sequences; Special Focus: Acute;
     
     
  • Figure 3
    Exploratory laparoscopy

    Necrotic fatty mass was found, connected to a pedicle which was twisted multiple times. The infarcted omentum was removed.

     
    Area of Interest: Abdomen; Imaging Technique: Percutaneous; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
Generalized, uniform, gaseous distension of the small and large bowel consistent with functional ileus.
 
Non-compressible lentiform echogenic area located immediately beneath the anterior abdominal wall and anterior to the bowel in the right lower quadrant.
 
Doppler ultrasound shows lack of colour flow within the echogenic area.
 
Ultrasound image of right lower quadrant shows a small amount of free fluid.
 
Necrotic fatty mass was found, connected to a pedicle which was twisted multiple times. The infarcted omentum was removed.
 
 
 
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