Objective: The diagnostic value of CT window width technique in primary omentum infarction was evaluated by this study.
Methods: The abdominal CT data of 32 patients with clinically diagnosed abdominal omentum infarction were retrospectively selected and analyzed. The fixed window position was 50 HU, and the window width was 135 HU, 250 HU (abdomen), 350 HU (mediastinum), and 500 HU, respectively. The detection rate of lesions was analyzed and compared.
Results: Window widths of 135 HU, 250 HU (abdomen), 350 HU (mediastinum), and 500 HU have a detection rate of 12.5% (4 cases), 62.5% (20 cases), 100% (32 cases), 100% (32 cases) for abdominal omental lesions, respectively. However, 500 HU showed worse abdominal bowel and parenchymal organs than 350 HU.
Conclusion: According to the comprehensive image quality, the ideal window width for diagnosis of primary omentum infarction is 350HU (mediastinal) window width.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9578888 | PMC |
http://dx.doi.org/10.1155/2022/4173738 | DOI Listing |
J Med Case Rep
November 2024
Gastroenterology & Hepatology, Marshall University, Huntington, WV, USA.
Background: Anaplastic large-cell lymphoma primarily involving the omentum is an extremely rare entity with variable clinical presentation. Owing to its rarity and nonspecific clinical manifestation, omental T-cell lymphoma is often diagnosed at a later stage, riddled with complications. While imaging modalities such as computed tomography scan can help a physician reach a diagnosis, cases that present with complications may require a multidisciplinary approach that combines surgical exploration along with consultation from Oncology.
View Article and Find Full Text PDFCureus
August 2024
General Surgery, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE) Regional Hospital, Monterrey, MEX.
Omental infarction is a rare but threatening cause of acute abdomen. The preoperative diagnosis is challenging due to its infrequent nature. It poses nonspecific abdominal signs that can be easily mistaken for other more common intra-abdominal pathologies.
View Article and Find Full Text PDFJ Surg Case Rep
August 2024
General Surgery, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia.
Cureus
July 2024
Emergency Medicine, Mayo Clinic Arizona, Phoenix, USA.
Intraperitoneal focal fat infarction (IFFI) is a rare condition characterized by infarction of fatty tissue within the abdominal cavity. Lesser omental infarction, a relatively rare type of IFFI, occurs when there is an infarction of fat within the lesser omentum. Patients typically present with acute abdominal pain that can mimic more serious conditions.
View Article and Find Full Text PDFCase Rep Oncol
May 2024
Department of Internal Medicine, Baylor Scott and White Medical Center, Temple, TX, USA.
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