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Omental Torsion

Nakamura KMN - MedPix (2006)

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Omental Torsion

History: 36 year old female with left upper quadrant pain. A right upper quadrant ultrasound demonstrated a small gallstone, but no evidence of acute cholecystitis.

Findings: Contrast enhances axial CT demonstrates a 1.9 x 4.5cm, predominantly fat density mass anterior to the transverse colon. The fat in this region is mildly infiltrated, and there are multiple, concentric, streaky rings surrounding and within the lesion, as well as focal subjacent peritoneal thickening.

Ddx: Omental infarct Epiploic appendagitis Diverticulitis

Dxhow: The patient was treated conservatively and her symptoms resolved. A short-interval follow-up CT scan demonstrated improvement in the inflammatory changes.

Exam: On exam, diffuse left upper quadrant tenderness was exhibited, however, there were no peritoneal signs, and a Murphy's sign was not present.

No MeSH data available.


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Omental Torsion

Nakamura KMN - MedPix (2006)

© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1300&req=5

View Article: MedPix Image - MedPix Case

Affiliation: Tripler Army Medical Center

ABSTRACT

Diagnosis: Omental Torsion

History: 36 year old female with left upper quadrant pain. A right upper quadrant ultrasound demonstrated a small gallstone, but no evidence of acute cholecystitis.

Findings: Contrast enhances axial CT demonstrates a 1.9 x 4.5cm, predominantly fat density mass anterior to the transverse colon. The fat in this region is mildly infiltrated, and there are multiple, concentric, streaky rings surrounding and within the lesion, as well as focal subjacent peritoneal thickening.

Ddx: Omental infarct Epiploic appendagitis Diverticulitis

Dxhow: The patient was treated conservatively and her symptoms resolved. A short-interval follow-up CT scan demonstrated improvement in the inflammatory changes.

Exam: On exam, diffuse left upper quadrant tenderness was exhibited, however, there were no peritoneal signs, and a Murphy's sign was not present.

No MeSH data available.