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Infarction of omentum and epiploic appendage: diagnosis, epidemiology and natural history.

Abstract：

:Epiploic appendicitis and segmental omentum infarction are considered to be rare conditions, which may mimic an abdominal surgical emergency. The purpose of our study was to describe clinical findings, US and CT appearance of infarction of an epiploic appendage and omentum, and to determine their epidemiological characteristics and natural history. We retrospectively studied clinical, US and CT findings at hospital admission and follow-up of all patients who were diagnosed at our institution with epiploic appendicitis or omentum infarction between June 1988 and November 1997. We found a relatively high incidence of 40 cases: 20 patients with epiploic appendicitis, 11 with omentum infarction, and 9 in whom it was not possible to discriminate between the both. All 40 patients recovered under conservative treatment without complications. We conclude that US and CT features allow a reliable diagnosis, thereby obviating unnecessary surgery. Discriminating between both conditions is of no practical relevance since treatment and prognosis are identical.

journal_name

Eur Radiol

journal_title

European radiology

authors

van Breda Vriesman AC,Lohle PN,Coerkamp EG,Puylaert JB

doi

10.1007/s003300050942

subject

Has Abstract

pub_date

1999-01-01 00:00:00

pages

1886-92

issue

9

eissn

0938-7994

issn

1432-1084

pii

90091886.330

journal_volume

9

pub_type

杂志文章

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