Omental infarction

Case contributed by Dr Yair Glick

Presentation

Left abdominal pain for past 3 days -suspected ureterolithiasis. Background of longstanding myelofibrosis, huge spleen.

Patient Data

Age: 45 years
Gender: Male
CT

The kidneys are of normal size, with no evidence of stones or pathological dilatation of the collecting system. The perirenal fat is preserved. The ureters are of normal caliber, with no evidence of a stone.

Enormous spleen measuring 27 cm in craniocaudal length, with several lineal calcifications. The spleen presses on the left kidney.
The left hepatic lobe is mildly enlarged.

The greater omentum exhibits fat stranding on the left (i.e. anterior to the spleen) and is surrounded by a small amount of fluid, compatible with omental infarction.

Case Discussion

The left abdominal pain was attributed to the omental infarct.

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