link
Bookmarks
Omental Infarct
Siva P. Raman, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Subscribe
0
13
3
4

KEY FACTS

  • Terminology

    • Imaging

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Fat necrosis caused by interruption of arterial blood supply to omentum

          IMAGING

          • General Features

            • CT Findings

              • MR Findings

                • Ultrasonographic Findings

                  • Nuclear Medicine Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            • Microscopic Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Esposito F et al: "Tethered fat sign": the sonographic sign of omental Infarction. Ultrasound Med Biol. 46(5):1105-10, 2020
                                          2. McMillen B et al: Idiopathic omental infarction: managed conservatively. BMJ Case Rep. 12(3), 2019
                                          3. Patlas MN et al: Cross-sectional imaging of nontraumatic peritoneal and mesenteric emergencies. Can Assoc Radiol J. 64(2):148-53, 2013
                                          4. Ryan J et al: Education and imaging: gastrointestinal: omental infarction. J Gastroenterol Hepatol. 28(2):378, 2013
                                          5. Kamaya A et al: Imaging manifestations of abdominal fat necrosis and its mimics. Radiographics. 31(7):2021-34, 2011
                                          6. Kerr SF et al: Postoperative omental infarction following colonic resection. Clin Radiol. 67(2):134-9, 2012
                                          7. Itenberg E et al: Modern management of omental torsion and omental infarction: a surgeon's perspective. J Surg Educ. 67(1):44-7, 2010
                                          8. Sasmal PK et al: Omental torsion and infarction: a diagnostic dilemma and its laparoscopic management. J Laparoendosc Adv Surg Tech A. 20(3):225-9, 2010
                                          9. Jeon YS et al: Is it from the mesentery or the omentum? MDCT features of various pathologic conditions in intraperitoneal fat planes. Surg Radiol Anat. 31(1):3-11, 2009
                                          10. Abdennasser el K et al: Omental torsion and infarction: CT appearance. Intern Med. 47(1):73-4, 2008
                                          11. Battaglia L et al: Simultaneous idiopathic segmental infarction of the great omentum and acute appendicitis: a rare association. World J Emerg Surg. 3:30, 2008
                                          12. Bestman TJ et al: An unusual complication after Roux-en-Y gastric bypass: torsion and infarction of the divided omentum. Obes Surg. 19(12):1731-3, 2008
                                          13. Cianci R et al: Idiopathic segmental infarction of the greater omentum diagnosed by unenhanced multidetector-row CT and treated successfully by laparoscopy. Emerg Radiol. 15(1):51-6, 2008
                                          14. Fu CY et al: Acute abdominal pain caused by spontaneous hemorrhagic infarction of a solitary plexiform neurofibroma of lesser omentum. Z Gastroenterol. 46(4):344-7, 2008
                                          15. Garg AG et al: Inflammatory fatty masses of the abdomen. Semin Ultrasound CT MR. 29(5):378-85, 2008
                                          16. Mihrshahi S et al: Primary idiopathic omental infarction in the adult. ANZ J Surg. 78(10):931-2, 2008
                                          17. Park TU et al: Omental infarction: case series and review of the literature. J Emerg Med. 42(2):149-54, 2008
                                          18. Ramos CT et al: Laparoscopic omentectomy for omental infarction after bicycle handlebar injury. J Laparoendosc Adv Surg Tech A. 18(2):327-9, 2008
                                          19. Rao A et al: Segmental omental infarction. Emerg Radiol. 14(3):195-7, 2007
                                          20. Coulier B: Segmental omental infarction in childhood: a typical case diagnosed by CT allowing successful conservative treatment. Pediatr Radiol. 36(2):141-3, 2006
                                          21. Hirano Y et al: Left-sided omental torsion with inguinal hernia. World J Gastroenterol. 12(4):662-4, 2006
                                          22. Singh AK et al: Omental infarct: CT imaging features. Abdom Imaging. 2006
                                          23. Van Kerkhove F et al: Omental infarction in childhood. JBR-BTR. 89(4):198-200, 2006
                                          24. Bachar GN et al: Sonographic diagnosis of right segmental omental infarction. J Clin Ultrasound. 33(2):76-9, 2005
                                          25. Feo CF et al: Primary torsion of the greater omentum: a difficult diagnosis. Dig Dis Sci. 50(7):1283-4, 2005
                                          26. Kerem M et al: Torsion of the greater omentum: preoperative computed tomographic diagnosis and therapeutic laparoscopy. JSLS. 9(4):494-6, 2005
                                          27. Loh MH et al: Omental infarction--a mimicker of acute appendicitis in children. J Pediatr Surg. 40(8):1224-6, 2005
                                          28. Singh AK et al: Acute epiploic appendagitis and its mimics. Radiographics. 25(6):1521-34, 2005
                                          29. van Breda Vriesman AC et al: Omental infarction: a self-limiting disease. AJR Am J Roentgenol. 185(1):280; author reply 280-1, 2005
                                          30. Abadir JS et al: Accurate diagnosis of infarction of omentum and appendices epiploicae by computed tomography. Am Surg. 70(10):854-7, 2004
                                          31. Pereira JM et al: Disproportionate fat stranding: a helpful CT sign in patients with acute abdominal pain. Radiographics. 24(3):703-15, 2004
                                          32. Singh AK et al: Omental infarct: an unusual CT appearance after superior mesenteric artery occlusion. Emerg Radiol. 10(5):276-8, 2004
                                          33. Macari M et al: The acute right lower quadrant: CT evaluation. Radiol Clin North Am. 41(6):1117-36, 2003
                                          34. Paroz A et al: Idiopathic segmental infarction of the greater omentum: a rare cause of acute abdomen. J Gastrointest Surg. 7(6):805-8, 2003
                                          35. Varjavandi V et al: Omental infarction: risk factors in children. J Pediatr Surg. 38(2):233-5, 2003
                                          36. Grattan-Smith JD et al: Omental infarction in pediatric patients: sonographic and CT findings. AJR Am J Roentgenol. 178(6):1537-9, 2002
                                          37. McClure MJ et al: Radiological features of epiploic appendagitis and segmental omental infarction. Clin Radiol. 56(10):819-27, 2001
                                          38. Amin Z et al: A case of acute right-sided abdominal pain. Br J Radiol. 72(856):421-2, 1999
                                          39. Schlesinger AE et al: Sonographic appearance of omental infarction in children. Pediatr Radiol. 29(8):598-601, 1999
                                          Related Anatomy
                                          Loading...
                                          Related Differential Diagnoses
                                          Loading...
                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Pathology

                                                • Clinical Issues

                                                  TERMINOLOGY

                                                  • Definitions

                                                    • Fat necrosis caused by interruption of arterial blood supply to omentum

                                                  IMAGING

                                                  • General Features

                                                    • CT Findings

                                                      • MR Findings

                                                        • Ultrasonographic Findings

                                                          • Nuclear Medicine Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    • Microscopic Features

                                                                      CLINICAL ISSUES

                                                                      • Presentation

                                                                        • Demographics

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Esposito F et al: "Tethered fat sign": the sonographic sign of omental Infarction. Ultrasound Med Biol. 46(5):1105-10, 2020
                                                                                  2. McMillen B et al: Idiopathic omental infarction: managed conservatively. BMJ Case Rep. 12(3), 2019
                                                                                  3. Patlas MN et al: Cross-sectional imaging of nontraumatic peritoneal and mesenteric emergencies. Can Assoc Radiol J. 64(2):148-53, 2013
                                                                                  4. Ryan J et al: Education and imaging: gastrointestinal: omental infarction. J Gastroenterol Hepatol. 28(2):378, 2013
                                                                                  5. Kamaya A et al: Imaging manifestations of abdominal fat necrosis and its mimics. Radiographics. 31(7):2021-34, 2011
                                                                                  6. Kerr SF et al: Postoperative omental infarction following colonic resection. Clin Radiol. 67(2):134-9, 2012
                                                                                  7. Itenberg E et al: Modern management of omental torsion and omental infarction: a surgeon's perspective. J Surg Educ. 67(1):44-7, 2010
                                                                                  8. Sasmal PK et al: Omental torsion and infarction: a diagnostic dilemma and its laparoscopic management. J Laparoendosc Adv Surg Tech A. 20(3):225-9, 2010
                                                                                  9. Jeon YS et al: Is it from the mesentery or the omentum? MDCT features of various pathologic conditions in intraperitoneal fat planes. Surg Radiol Anat. 31(1):3-11, 2009
                                                                                  10. Abdennasser el K et al: Omental torsion and infarction: CT appearance. Intern Med. 47(1):73-4, 2008
                                                                                  11. Battaglia L et al: Simultaneous idiopathic segmental infarction of the great omentum and acute appendicitis: a rare association. World J Emerg Surg. 3:30, 2008
                                                                                  12. Bestman TJ et al: An unusual complication after Roux-en-Y gastric bypass: torsion and infarction of the divided omentum. Obes Surg. 19(12):1731-3, 2008
                                                                                  13. Cianci R et al: Idiopathic segmental infarction of the greater omentum diagnosed by unenhanced multidetector-row CT and treated successfully by laparoscopy. Emerg Radiol. 15(1):51-6, 2008
                                                                                  14. Fu CY et al: Acute abdominal pain caused by spontaneous hemorrhagic infarction of a solitary plexiform neurofibroma of lesser omentum. Z Gastroenterol. 46(4):344-7, 2008
                                                                                  15. Garg AG et al: Inflammatory fatty masses of the abdomen. Semin Ultrasound CT MR. 29(5):378-85, 2008
                                                                                  16. Mihrshahi S et al: Primary idiopathic omental infarction in the adult. ANZ J Surg. 78(10):931-2, 2008
                                                                                  17. Park TU et al: Omental infarction: case series and review of the literature. J Emerg Med. 42(2):149-54, 2008
                                                                                  18. Ramos CT et al: Laparoscopic omentectomy for omental infarction after bicycle handlebar injury. J Laparoendosc Adv Surg Tech A. 18(2):327-9, 2008
                                                                                  19. Rao A et al: Segmental omental infarction. Emerg Radiol. 14(3):195-7, 2007
                                                                                  20. Coulier B: Segmental omental infarction in childhood: a typical case diagnosed by CT allowing successful conservative treatment. Pediatr Radiol. 36(2):141-3, 2006
                                                                                  21. Hirano Y et al: Left-sided omental torsion with inguinal hernia. World J Gastroenterol. 12(4):662-4, 2006
                                                                                  22. Singh AK et al: Omental infarct: CT imaging features. Abdom Imaging. 2006
                                                                                  23. Van Kerkhove F et al: Omental infarction in childhood. JBR-BTR. 89(4):198-200, 2006
                                                                                  24. Bachar GN et al: Sonographic diagnosis of right segmental omental infarction. J Clin Ultrasound. 33(2):76-9, 2005
                                                                                  25. Feo CF et al: Primary torsion of the greater omentum: a difficult diagnosis. Dig Dis Sci. 50(7):1283-4, 2005
                                                                                  26. Kerem M et al: Torsion of the greater omentum: preoperative computed tomographic diagnosis and therapeutic laparoscopy. JSLS. 9(4):494-6, 2005
                                                                                  27. Loh MH et al: Omental infarction--a mimicker of acute appendicitis in children. J Pediatr Surg. 40(8):1224-6, 2005
                                                                                  28. Singh AK et al: Acute epiploic appendagitis and its mimics. Radiographics. 25(6):1521-34, 2005
                                                                                  29. van Breda Vriesman AC et al: Omental infarction: a self-limiting disease. AJR Am J Roentgenol. 185(1):280; author reply 280-1, 2005
                                                                                  30. Abadir JS et al: Accurate diagnosis of infarction of omentum and appendices epiploicae by computed tomography. Am Surg. 70(10):854-7, 2004
                                                                                  31. Pereira JM et al: Disproportionate fat stranding: a helpful CT sign in patients with acute abdominal pain. Radiographics. 24(3):703-15, 2004
                                                                                  32. Singh AK et al: Omental infarct: an unusual CT appearance after superior mesenteric artery occlusion. Emerg Radiol. 10(5):276-8, 2004
                                                                                  33. Macari M et al: The acute right lower quadrant: CT evaluation. Radiol Clin North Am. 41(6):1117-36, 2003
                                                                                  34. Paroz A et al: Idiopathic segmental infarction of the greater omentum: a rare cause of acute abdomen. J Gastrointest Surg. 7(6):805-8, 2003
                                                                                  35. Varjavandi V et al: Omental infarction: risk factors in children. J Pediatr Surg. 38(2):233-5, 2003
                                                                                  36. Grattan-Smith JD et al: Omental infarction in pediatric patients: sonographic and CT findings. AJR Am J Roentgenol. 178(6):1537-9, 2002
                                                                                  37. McClure MJ et al: Radiological features of epiploic appendagitis and segmental omental infarction. Clin Radiol. 56(10):819-27, 2001
                                                                                  38. Amin Z et al: A case of acute right-sided abdominal pain. Br J Radiol. 72(856):421-2, 1999
                                                                                  39. Schlesinger AE et al: Sonographic appearance of omental infarction in children. Pediatr Radiol. 29(8):598-601, 1999