A new case of intraperitoneal fat focal infarction (IFFI) of the lesser omentum

Appendagitis of the lesser omentum – an uncommon cause of acute abdominal pain

“…This term was first introduced by van Breda Vriesmann et al in 1999 and regroups acute appendagitis and infarction of the greater omentum. The common denominator is a focal fatty and inflammatory tissue necrosis differing only in their anatomical location and dimensions [1][2][3][4][5][6][7][8][9]. The lesser omentum is a peritoneal reflection connecting the lesser gastric curvature and the proximal duodenum with the liver.…”

“…(figure 3).Reported cases of appendagitis of the lesser omentum are rare[1,2,[10][11][12]. The first case of IFFI of the lesser omentum was described byCoulier et al in 2004 [1].…”

Contribution of us and ct for diagnosis of intra peritoneal focal fat infarction (iffi): a pictorial review

“…The left portion (or gastrohepatic ligament) contains the left gastric vessels and left gastric lymph nodes and the right portion (or hepatoduodenal ligament) contains the portal vein, hepatic artery, extrahepatic bile duct, and hepatic nodal group (16,37,38).…”

“…The lesser omentum, which is a combination of the gastrohepatic and hepatoduodenal ligaments, connects the lesser curvature of the stomach and proximal duodenum (16,37,38). A review of the medical literature (Medline) also essentially reveals the implication of the lesser omentum in metastatic disease (lymphoma, lung and oesogastric tumours), portal hypertension (varicose) and mechanical hernias through the hiatus of Winslow.…”

“…17, 18). The differential diagnosis was to be made with gastro-duodenal ulcus disease and pancreatitis (37,38).…”