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Omental Infarction
Michael R. Aquino, MD, MHSc
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Segmental omental infarction
              • Intraperitoneal focal fat infarction
            • Definitions

              • Benign self-limited cause of acute abdominal pain due to vascular occlusion leading to segmental omental infarction

            IMAGING

            • General Features

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Image Interpretation Pearls

                                    Selected References

                                    1. Wertheimer J et al: Radiological, clinical and histological correlations in a right segmental omental infarction due to primary torsion in a child. Diagn Interv Imaging. 95(3):325-31, 2014
                                    2. Park TU et al: Omental infarction: case series and review of the literature. J Emerg Med. 42(2):149-54, 2012
                                    3. Coulier B: Contribution of US and CT for diagnosis of intraperitoneal focal fat infarction (IFFI): a pictorial review. JBR-BTR. 93(4):171-85, 2010
                                    4. Gosain A et al: Omental infarction: preoperative diagnosis and laparoscopic management in children. J Laparoendosc Adv Surg Tech A. 20(9):777-80, 2010
                                    5. Soobrah R et al: Conservative management of segmental infarction of the greater omentum: a case report and review of literature. Case Report Med. 2010, 2010
                                    6. Nubi A et al: Primary omental infarct: conservative vs operative management in the era of ultrasound, computerized tomography, and laparoscopy. J Pediatr Surg. 44(5):953-6, 2009
                                    7. Rimon A et al: Omental infarction in children. J Pediatr. 155(3):427-431.e1, 2009
                                    8. Rao A et al: Segmental omental infarction. Emerg Radiol. 14(3):195-7, 2007
                                    9. Coulier B: Segmental omental infarction in childhood: a typical case diagnosed by CT allowing successful conservative treatment. Pediatr Radiol. 36(2):141-3, 2006
                                    10. Bachar GN et al: Sonographic diagnosis of right segmental omental infarction. J Clin Ultrasound. 33(2):76-9, 2005
                                    11. Houben CH et al: Segmental infarction of the omentum: a difficult diagnosis. Eur J Pediatr Surg. 13(1):57-9, 2003
                                    12. Grattan-Smith JD et al: Omental infarction in pediatric patients: sonographic and CT findings. AJR Am J Roentgenol. 178(6):1537-9, 2002
                                    13. Schlesinger AE et al: Sonographic appearance of omental infarction in children. Pediatr Radiol. 29(8):598-601, 1999
                                    14. Maeda T et al: CT and MR findings of torsion of greater omentum: a case report. Abdom Imaging. 22(1):45-6, 1997
                                    Related Anatomy
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                                    Related Differential Diagnoses
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                                    References
                                    Tables

                                    Tables

                                    KEY FACTS

                                    • Terminology

                                      • Imaging

                                        • Top Differential Diagnoses

                                          • Pathology

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Synonyms

                                                • Segmental omental infarction
                                                • Intraperitoneal focal fat infarction
                                              • Definitions

                                                • Benign self-limited cause of acute abdominal pain due to vascular occlusion leading to segmental omental infarction

                                              IMAGING

                                              • General Features

                                                • Ultrasonographic Findings

                                                  • CT Findings

                                                    • MR Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Gross Pathologic & Surgical Features

                                                              CLINICAL ISSUES

                                                              • Presentation

                                                                • Demographics

                                                                  • Treatment

                                                                    DIAGNOSTIC CHECKLIST

                                                                    • Image Interpretation Pearls

                                                                      Selected References

                                                                      1. Wertheimer J et al: Radiological, clinical and histological correlations in a right segmental omental infarction due to primary torsion in a child. Diagn Interv Imaging. 95(3):325-31, 2014
                                                                      2. Park TU et al: Omental infarction: case series and review of the literature. J Emerg Med. 42(2):149-54, 2012
                                                                      3. Coulier B: Contribution of US and CT for diagnosis of intraperitoneal focal fat infarction (IFFI): a pictorial review. JBR-BTR. 93(4):171-85, 2010
                                                                      4. Gosain A et al: Omental infarction: preoperative diagnosis and laparoscopic management in children. J Laparoendosc Adv Surg Tech A. 20(9):777-80, 2010
                                                                      5. Soobrah R et al: Conservative management of segmental infarction of the greater omentum: a case report and review of literature. Case Report Med. 2010, 2010
                                                                      6. Nubi A et al: Primary omental infarct: conservative vs operative management in the era of ultrasound, computerized tomography, and laparoscopy. J Pediatr Surg. 44(5):953-6, 2009
                                                                      7. Rimon A et al: Omental infarction in children. J Pediatr. 155(3):427-431.e1, 2009
                                                                      8. Rao A et al: Segmental omental infarction. Emerg Radiol. 14(3):195-7, 2007
                                                                      9. Coulier B: Segmental omental infarction in childhood: a typical case diagnosed by CT allowing successful conservative treatment. Pediatr Radiol. 36(2):141-3, 2006
                                                                      10. Bachar GN et al: Sonographic diagnosis of right segmental omental infarction. J Clin Ultrasound. 33(2):76-9, 2005
                                                                      11. Houben CH et al: Segmental infarction of the omentum: a difficult diagnosis. Eur J Pediatr Surg. 13(1):57-9, 2003
                                                                      12. Grattan-Smith JD et al: Omental infarction in pediatric patients: sonographic and CT findings. AJR Am J Roentgenol. 178(6):1537-9, 2002
                                                                      13. Schlesinger AE et al: Sonographic appearance of omental infarction in children. Pediatr Radiol. 29(8):598-601, 1999
                                                                      14. Maeda T et al: CT and MR findings of torsion of greater omentum: a case report. Abdom Imaging. 22(1):45-6, 1997