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Arch Pediatr Adolesc Med. 2007;161(8):774.

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Denouement and Discussion: Omental Infarction

Axial CT scan of the upper abdomen at the level of the kidneys revealed a triangular area of increased density in the right-sided mesentery (Figure 1). It was located between the anterior abdominal wall and the antimesenteric border of the transverse colon (Figure 2). Axial CT scan at the level of the cecum did not show the noncompressible, blind-ending tubular structure larger than 6 mm that is characteristic of appendicitis. A few small mesenteric nodes were noted (not shown), but they were neither sizable nor great enough in quantity to suggest mesenteric adenitis. No thick bowel that was indicative of inflammatory bowel disease was seen. Laparoscopy showed an inflammatory mass of necrotic omentum adhering to the anterior abdominal wall (Figure 3). Following surgical resection, the patient's pain lessened. These findings are consistent with omental infarction.

Figure appears in full text version. Figure 1. Axial computed tomography through the patient's upper . . . [Full Text of this Article]

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Arch Pediatr Adolesc Med. 2007;161(8):773.
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