What is an omental infarct?
Omental infarction, or omental torsion, is an acute vascular disorder which compromises tissue of the greater omentum—the largest peritoneal fold in the abdomen.
How is omental infarction diagnosed?
Omental infarction should be considered with any patient presenting with acute right lower-quadrant pain. Abdominal ultrasonography and computed tomography should be used as initial diagnostic measures.
How long does an omental infarction last?
Symptoms can otherwise persist for an average of 13.5 days through conservative management. Further still, removing devitalised omentum reduces a ‘theoretical’ risk of secondary peritoneal abscess formation.
What is epiploic appendagitis omental infarction?
Omental Infarction. Omental infarction is a rare cause of acute abdo- men. It typically simulates acute appendicitis, with clinical features that include abdominal pain of a few days’ duration, most often localized in the right lower or upper quadrant.
Can omental infarction be cured?
Conclusion: Omental infarction is a relatively rare disease characterized by acute abdomen. Nonsevere cases may be successfully treated without antibiotics.
How many cases of omental infarction are there?
Omental infarction is a rare disease that affects the entire omentum or a segment of the greater omentum, the cause of which sometimes remains elusive [1, 2]. There have been about 300 cases of omental infarction reported in literature [3, 4] since the first case reported in 1896 by Bush [5].
What does fat stranding on a CT scan mean?
Fat stranding is a sign that is seen on CT. It describes the change in attenuation of fat around an inflamed structure and is a very helpful signpost for intra-abdominal pathology.
Does epiploic appendagitis need surgery?
These pouches are called epiploic appendages. People typically have between 50 and 100 of them over their large intestine. Unlike the conditions it’s often confused with, epiploic appendagitis usually doesn’t require surgical treatment.