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Encapsulated Omental Necrosis as an Unexpected Postoperative Finding: A Case Report

Postsurgical fat necrosis is a frequent finding in abdominal cross-sectional imaging. Epiploic appendagitis and omental infarction are a result of torsion or vascular occlusion. Surgery or pancreatitis are conditions that can have a traumatic and ischemic effect on fatty tissue. The imaging appearan...

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Autores principales: Mitrovic, Milica, Velickovic, Dejan, Micev, Marjan, Sljukic, Vladimir, Djuric, Petar, Tadic, Boris, Skrobic, Ognjan, Djokic Kovac, Jelena
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8470421/
https://www.ncbi.nlm.nih.gov/pubmed/34577788
http://dx.doi.org/10.3390/medicina57090865
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author Mitrovic, Milica
Velickovic, Dejan
Micev, Marjan
Sljukic, Vladimir
Djuric, Petar
Tadic, Boris
Skrobic, Ognjan
Djokic Kovac, Jelena
author_facet Mitrovic, Milica
Velickovic, Dejan
Micev, Marjan
Sljukic, Vladimir
Djuric, Petar
Tadic, Boris
Skrobic, Ognjan
Djokic Kovac, Jelena
author_sort Mitrovic, Milica
collection PubMed
description Postsurgical fat necrosis is a frequent finding in abdominal cross-sectional imaging. Epiploic appendagitis and omental infarction are a result of torsion or vascular occlusion. Surgery or pancreatitis are conditions that can have a traumatic and ischemic effect on fatty tissue. The imaging appearances may raise concerns for recurrent malignancy, but percutaneous biopsy and diagnostic follow-up assist in the accurate diagnosis of omental infarction. Herein we describe a case of encapsulated omental necrosis temporally related to gastric surgery. Preoperative CT and MRI findings showed the characteristics of encapsulated, postcontrast nonviable tumefaction in the epigastrium without clear imaging features of malignancy. Due to the size of the lesion and the patient’s primary disease, tumor recurrence could not be completely ruled out, and the patient underwent surgery. Histopathological analysis confirmed the diagnosis of steatonecrosis of the omentum.
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spelling pubmed-84704212021-09-27 Encapsulated Omental Necrosis as an Unexpected Postoperative Finding: A Case Report Mitrovic, Milica Velickovic, Dejan Micev, Marjan Sljukic, Vladimir Djuric, Petar Tadic, Boris Skrobic, Ognjan Djokic Kovac, Jelena Medicina (Kaunas) Case Report Postsurgical fat necrosis is a frequent finding in abdominal cross-sectional imaging. Epiploic appendagitis and omental infarction are a result of torsion or vascular occlusion. Surgery or pancreatitis are conditions that can have a traumatic and ischemic effect on fatty tissue. The imaging appearances may raise concerns for recurrent malignancy, but percutaneous biopsy and diagnostic follow-up assist in the accurate diagnosis of omental infarction. Herein we describe a case of encapsulated omental necrosis temporally related to gastric surgery. Preoperative CT and MRI findings showed the characteristics of encapsulated, postcontrast nonviable tumefaction in the epigastrium without clear imaging features of malignancy. Due to the size of the lesion and the patient’s primary disease, tumor recurrence could not be completely ruled out, and the patient underwent surgery. Histopathological analysis confirmed the diagnosis of steatonecrosis of the omentum. MDPI 2021-08-24 /pmc/articles/PMC8470421/ /pubmed/34577788 http://dx.doi.org/10.3390/medicina57090865 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Mitrovic, Milica
Velickovic, Dejan
Micev, Marjan
Sljukic, Vladimir
Djuric, Petar
Tadic, Boris
Skrobic, Ognjan
Djokic Kovac, Jelena
Encapsulated Omental Necrosis as an Unexpected Postoperative Finding: A Case Report
title Encapsulated Omental Necrosis as an Unexpected Postoperative Finding: A Case Report
title_full Encapsulated Omental Necrosis as an Unexpected Postoperative Finding: A Case Report
title_fullStr Encapsulated Omental Necrosis as an Unexpected Postoperative Finding: A Case Report
title_full_unstemmed Encapsulated Omental Necrosis as an Unexpected Postoperative Finding: A Case Report
title_short Encapsulated Omental Necrosis as an Unexpected Postoperative Finding: A Case Report
title_sort encapsulated omental necrosis as an unexpected postoperative finding: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8470421/
https://www.ncbi.nlm.nih.gov/pubmed/34577788
http://dx.doi.org/10.3390/medicina57090865
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