Pains around the navel, with canalized bowel, no fever. Recent laparoscopic salpingectomy.
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Fat stranding of the greater omentum with a central focal region of hypoattenuation compatible with omental infarction.
Segmental omental infarction is a benign cause of an acute abdomen, and hence it is seldom considered in the differential diagnosis of acute abdominal pain.
It mimics symptoms that often lead to the misdiagnosis of appendicitis, cholecystitis, or diverticulitis.
Various predisposing factors have been implicated including obesity, trauma, recent abdominal surgery, postprandial vascular congestion, sudden increase in intraabdominal pressure, and hypercoagulability.