Omental cake
Last revised by Tee Yu Jin ◉ on 26 Mar 2023
Citation, DOI, disclosures and article data
Citation:
Gaillard F, Niknejad M, Yap J, et al. Omental cake. Reference article, Radiopaedia.org (Accessed on 03 Oct 2023) https://doi.org/10.53347/rID-1773
Permalink:
rID:
1773
Article created:
Disclosures:
At the time the article was created Frank Gaillard had no recorded disclosures.
View Frank Gaillard's current disclosuresLast revised:
26 Mar 2023, Tee Yu Jin ◉
Disclosures:
At the time the article was last revised Tee Yu Jin had no financial relationships to ineligible companies to disclose.
View Tee Yu Jin's current disclosuresRevisions:
34 times, by 21 contributors - see full revision history and disclosures
Systems:
Sections:
Synonyms:
- Omental caking
Omental cake refers to infiltration of the omental fat by material of soft-tissue density. The appearances refer to the contiguous omental mass simulating the top of a cake. Masses on the peritoneal surfaces and malignant ascites may also be present.
Pathology
The most common cause is metastases from ovarian, gastric, or colon cancer. A core biopsy may be helpful if the primary tumor is unknown.
Differential diagnosis
tuberculous peritonitis may also give this appearance
lymphoma can present as omental caking, diffuse peritoneal thickening, and ascites, the best clue is significant lymphadenopathy
References
- 1. Weissleder R, Wittenberg J, Harisinghani MG. Primer of diagnostic imaging. Mosby Inc. (2003) ISBN:0323023282. Read it at Google Books - Find it at Amazon
- 2. Roche CJ, O'keeffe DP, Lee WK et-al. Selections from the buffet of food signs in radiology. Radiographics. 22 (6): 1369-84. doi:10.1148/rg.226025521 - Pubmed citation
- 3. Toma P, Granata C, Rossi A et-al. Multimodality imaging of Hodgkin disease and non-Hodgkin lymphomas in children. Radiographics. 2007;27 (5): 1335-54. Radiographics (full text) - doi:10.1148/rg.275065157 - Pubmed citation
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