Case Of the Week (COW) 24 Nov 2013
Answer:
Omental infarct.
Findings:
Well circumscribed inhomogeneous fatty mass with density(-60) higher than that of adjacent fat(-150) noted in the right lower quadrant between the ascending colon and the anterior abdominal wall , with adjacent bowel appearing normal.
Discussion:
The classic location of primary omental infraction is in the right lower quadrant between the colon and anterior abdominal wall. The vascular compromise occurs along the right edge of the greater momentum where the arterial supply is usually tenuous.It is usually larger than 5 cm, which helps distinguishing it from epiploic appendagitis.
Contributed By:
Dr. Latha PK, Barnard Institute of Radiology
Answer:
Omental infarct.
Findings:
Well circumscribed inhomogeneous fatty mass with density(-60) higher than that of adjacent fat(-150) noted in the right lower quadrant between the ascending colon and the anterior abdominal wall , with adjacent bowel appearing normal.
Discussion:
The classic location of primary omental infraction is in the right lower quadrant between the colon and anterior abdominal wall. The vascular compromise occurs along the right edge of the greater momentum where the arterial supply is usually tenuous.It is usually larger than 5 cm, which helps distinguishing it from epiploic appendagitis.
Contributed By:
Dr. Latha PK, Barnard Institute of Radiology