This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Pain  • Adolescent Medicine  • Radiologic Imaging  • Diagnosis  • Computed Tomography  • Picture of the Month  • Gastroenterology  • Gastrointestinal Diseases  • Alert me on articles by topic

Arch Pediatr Adolesc Med. 2007;161(8):774.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Denouement and Discussion: Omental Infarction

Axial CT scan of the upper abdomen at the level of the kidneys revealed a triangular area of increased density in the right-sided mesentery (Figure 1). It was located between the anterior abdominal wall and the antimesenteric border of the transverse colon (Figure 2). Axial CT scan at the level of the cecum did not show the noncompressible, blind-ending tubular structure larger than 6 mm that is characteristic of appendicitis. A few small mesenteric nodes were noted (not shown), but they were neither sizable nor great enough in quantity to suggest mesenteric adenitis. No thick bowel that was indicative of inflammatory bowel disease was seen. Laparoscopy showed an inflammatory mass of necrotic omentum adhering to the anterior abdominal wall (Figure 3). Following surgical resection, the patient's pain lessened. These findings are consistent with omental infarction.

Figure appears in full text version. Figure 1. Axial computed tomography through the patient's upper . . . [Full Text of this Article]

AUTHOR INFORMATION

RELATED ARTICLE

Picture of the Month—Quiz Case
Yue-Yung Hu, Harris L. Cohen, and Richard J. Scriven
Arch Pediatr Adolesc Med. 2007;161(8):773.
EXTRACT | FULL TEXT