Diagnosis and differentiation of infarction of the gastrocolic omentum and epiploic appendagitis – case description
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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
Corresponding author
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).
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