CT diagnosis of primary torsion of the greater omentum

Chung Ping Lo, Teng Wei Chen, Hsaio Dung Liu, Chang Hsien Liu, Cheng Yu Chen, Chih Yung Yu

Research output: Chapter in Book/Report/Conference proceedingChapter

7 Citations (Scopus)

Abstract

Torsion of the greater omentum is a rare condition of acute abdomen. We, herein, report a 37-year-old man, who presented to the emergency department with right lower abdominal pain, nausea, and fever. The initial clinical impression was acute appendicitis. Preoperative computed tomographic study showed a well-defined, fat-containing mass interspersed with soft-tissue strands in the right lower abdomen and pelvis, and it also induced partial obstruction of the small intestine. This mass was found in connection with a vertical rod of the omental vessels. Surgical exploration revealed torsion of the greater omentum with hemorrhagic infarction. Computed tomography (CT) is a useful imaging modality for making a specific diagnosis. An inflamed fat-containing mass with a vascular pedicle is characteristic for the torsion of the greater omentum.

Original languageEnglish
Title of host publicationEuropean Journal of Radiology Extra
Pages69-72
Number of pages4
Volume52
Edition2
DOIs
Publication statusPublished - Nov 2004
Externally publishedYes

Keywords

  • Abdomen
  • Acute conditions
  • Computed tomography (CT)
  • Omentum

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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  • Cite this

    Lo, C. P., Chen, T. W., Liu, H. D., Liu, C. H., Chen, C. Y., & Yu, C. Y. (2004). CT diagnosis of primary torsion of the greater omentum. In European Journal of Radiology Extra (2 ed., Vol. 52, pp. 69-72) https://doi.org/10.1016/j.ejrex.2004.09.001