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Published in: Emergency Radiology 4/2015

01-08-2015 | Pictorial Essay

Omental infarction and its mimics: imaging features of acute abdominal conditions presenting with fat stranding greater than the degree of bowel wall thickening

Authors: Michele Tonerini, Francesca Calcagni, Silvia Lorenzi, Paola Scalise, Alessandro Grigolini, Pietro Bemi

Published in: Emergency Radiology | Issue 4/2015

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Abstract

The segmental omental infarction is a rare self-limited disorder presenting with aspecific clinical symptoms that may mimic several acute abdominal conditions. Therefore, a correct noninvasive diagnosis is important because treatment approaches range from monitoring to surgery. As omental infarction results in an important fat stranding that is much greater than the degree of bowel wall thickening, it suggests a narrower differential diagnosis: appendicitis, diverticulitis, epiploic appendagitis, and mesenteric panniculitis. In this pictorial essay, we point out the importance of imaging in identifying this typical sign allowing alternate diagnoses such as segmental omental infarction that can be conservatively managed.
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Metadata
Title
Omental infarction and its mimics: imaging features of acute abdominal conditions presenting with fat stranding greater than the degree of bowel wall thickening
Authors
Michele Tonerini
Francesca Calcagni
Silvia Lorenzi
Paola Scalise
Alessandro Grigolini
Pietro Bemi
Publication date
01-08-2015
Publisher
Springer Berlin Heidelberg
Published in
Emergency Radiology / Issue 4/2015
Print ISSN: 1070-3004
Electronic ISSN: 1438-1435
DOI
https://doi.org/10.1007/s10140-015-1302-0

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