GOOD NEWS: We have fixed the DICOM uploading problem. New cases should work fine. More info radiopaedia.org/chat

Omental infarction

Case contributed by Maulik S Patel
Diagnosis probable

Presentation

Right lower abdominal pain - 2 days.

Patient Data

Age: about 25 yrs
Gender: Male
ultrasound

In region of maximal tenderness  ( right lumbar / iliac fossa region ), there is an ovoid, noncompressible, hyperechoic mass, without significant internal vascularity.

Size of lesion is  30 x 22 x 10 mm. Internal hypoechoic rim like area is noted.

Lesion abutts anterior abdominal wall near junction of rectus abdominis and oblique muscle.

Lesion does not move significantly with inspiration.

It is seperate from small / large bowel loops.

 APPENDIX could not be localized.

Cecum and Terminal ilium are normal.

 

Case Discussion

If lesion closer to the bowel, possiblity of epiploic appendagitis should also be considered.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.