Diagnosis and differentiation of infarction of the gastrocolic omentum and epiploic appendagitis – case description
More details
Hide details
Department of Radiology and Imaging Diagnostics Provincial Hospital No 2 by the name of St. Jadwiga the Queen in Rzeszów, Poland
2nd Department of Radiology, Medical University in Lublin, Poland
Agnieszka Grudzińska-Raczek   

Department of Radiology and Imaging Diagnostics Regional Hospital No 2 by the name of St. Jadwiga the Queen in Rzeszow, 60 Lwowska, 35-301 Rzeszow, Poland
J Pre Clin Clin Res. 2012;6(2):131–133
The article presents the history of the disease in a 43-year man who reported to hospital because of the sudden occurrence of strong, diffuse, abdominal pain. Diagnostic tests performed in the emergency mode, including abdominal cavity US, showed no pathology. Subsequent US performed 12 hours later showed the presence of a pelvic minor tumour of adipose texture. The presence of this pathology was then confirmed by abdominal CT. Four days after admission to hospital, the patient was operated on, revealing in the HP study a partial necrosis of the gastrocolic omentum against the epiploic appendix pedicle with adipose tissue fibrosis. There were no complications in the patient in the postoperative period, and after 13 days he was discharged in good general condition. Retrospective analysis of this case demonstrates the need for considering this pathology in the differential diagnosis of acute abdomen. This case deserves attention because of the rarity of this pathology in the literature, and the interesting documentation in two different imaging techniques (US and CT).
Sozen S, Dolalan S, Yıldız F, Elkan H. Primary omental torsion as a cause of acute abdomen: case report. Ulus Travma Acil Cerrahi Derg. 2011 Nov; 17(6): 554-6.
Barai KP, Knight BC. Diagnosis and management of idiopathic omental infarction: A case report. Int J Surg Case Rep. 2011; 2(6): 138-140.
Yoon JH, Park YK, Sohn BK, Jeon YC, Sohn JH, Han DS. A case of primary omental torsion presenting as an acute abdominal pain. Korean J Gastroenterol. 2007 Jan; 49(1): 41-4.
Papaziogas B, Dragoumis D, Tsiaousis P, Giakoustidis D, Atmatzidis S, Sarlis G, et al. Primary torsion of the greater omentum. An obscure and unusual cause of acute abdomen. Surgery (Bucur). 2007 Jan-Feb; 102(1): 95-8.
Peirce C, Martin ST, Hyland JM. The use of minimally invasive surgery in the management of idiopathic omental torsion: The diagnostic and therapeutic role of laparoscopy. Int J Surg Case Rep. 2011; 2(6): 125-7.
Goti F, Hollmann R, Stieger R, Lange J. Idiopathic segmental infarction of the greater omentum successfully treated by laparoscopy: report of case. Surg Today. 2000; 30(5): 451-453.
Grattan-Smith JD, Blews DL, Brand T. Omental infarction in pediatric patients: sonographic and CT findings. AJR. 2002; 178: 1537-1539.
Sarvepalli R, Kyle SM. Omental torsion: a rare cause of acute abdomen. N Z Med J. 2010 Jan 29; 123(1308): 81-2.
Reicher M, Łasiński W. In: Bochenek A, Reicher M: Human anatomy. Vol. II. Wydawnictwo Lekarskie PZWL. Warszawa, 1992 p. 152-193.
Smereczyński A, Bojko S, Gałdyńska M, Kładna K, Lubiński J, Starzyńska, et al. Własne doświadczenia w rozpoznawaniu zmian przyczepkow sieciowych. Cz. 1. Pierwotne zapalenie przyczepkow sieciowych. (Own experiences in diagnostics of lesions of the epiploic appendages. Pt 1. Primary epiploic appendagitis). Ultrasonografia. 2010; 10(40): 32-39 (in Polish).
Breda Vriesman AC, Lohle PNM, Coerkamp EG, Puylaert JBCM. Infarction of omentum and epiploic appendage: diagnosis, epidemiology and natural history. Eur Radiol. 1999; 9: 1886-1892.
Naffaa LN, Shabb NS, Haddad MC. CT findings of omental torsion and infarction: case report and review of the literature. Clin Imaging. 2003 Mar-Apr; 27(2): 116-8.
Miguel Perello J, Aguayo Albasini JL, Soria Aledo V, Aguilar Jimenez J, Flores Pastor B, Candel Arenas MF, et al. Omental torsion: imaging techniques can prevent unnecessary surgical interventions. Gastroenterol Hepatol. 2002 Oct; 25(8): 493-6.
Itenberg E, Mariadason J, Khersonsky J, Wallack M. Modern management of omental torsion and omental infarction: a surgeon’s perspective. J Surg Educ. 2010; 67(January–February (1)): 44-47.
Smereczyński A. Colon epiploic appendagitis in USG. Pol Przeg Radiol. 1999; 64: 54-57.