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

Coulier, B

doi:10.5334/jbr-btr.276

Cited by 35 publications

(68 citation statements)

References 33 publications

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“…Sonographic findings in IFFI include hyperechoic, non-compressible lesion at the site of tenderness with or without central hypoechoic area. Color flow is typically absent on Doppler study and helps in differentiating from other inflammatory conditions [4,8] .…”

Section: Discussionmentioning

confidence: 99%

“…CT of IFFI and epiploic appendagitis demonstrates an area of fat density with a thin peripheral rim of hyperattenuation (hyperattenuating rim sign) with or without "central dot sign" (a punctate hyperdense focus corresponding to the thrombosed vein) [4,8] . Such appearance close to the colon wall is characteristic for epiploic appendagitis.…”

Section: Discussionmentioning

confidence: 99%

“…IFFI is usually self-limiting in the majority of patients and resolves with- out treatment within 1 week. Rarely, IFFI may lead to adhesion, peritonitis, necrosis, or abscess formation and calcified peritoneal loose bodies [4] . Sonographic findings in IFFI include hyperechoic, non-compressible lesion at the site of tenderness with or without central hypoechoic area.…”

Section: Discussionmentioning

confidence: 99%

“…Epiploic appendages are peritoneum-covered pedunculated fatty structures located adjacent to the anterior and posterior tenia coli over the colon wall from the cecum to the rectosigmoid junction [4] . Intra-abdominal focal fat infarction, which occurs more commonly in the epiploic appendages or greater omentum, may rarely involve the perigastric ligaments (gastrohepatic, gastrosplenic, and falciform) also [3] .…”

Section: Discussionmentioning

confidence: 99%

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Unusual Cause of Epigastric Pain: Intra-Abdominal Focal Fat Infarction Involving Appendage of Falciform Ligament - Case Report and Review of Literature

Indiran¹,

Dixit²,

Maduraimuthu³

2017

GE Port J Gastroenterol

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Causa rara de epigastralgia: Enfarte focal de gordura intra-abdominal envolvendo o apêndice do ligamento falciforme -Caso clínico e revisão da literatura Palavras ChaveTorção · Ligamento falciforme · Enfarte focal de gordura · Anel de hiperdensidade Resumo A torção do apêndice epiplóico do ligamento falciforme, parte do espectro de condições conhecidas como enfarte focal de gordura intra abdominal (IFFI), é uma situação muita rara com menos de 20 casos descritos como imagem até à data. Reportamos um caso de torção do apên-dice epiplóico do ligamento falciforme numa mulher de meia-idade, diagnosticado em ecografia e TC abdominal. A TC evidenciou o clássico sinal do "anel de hiperdensidade" no espaço perihepático anterior, adjacente ao ligamento falciforme. Enfatizamos a importância deste sinal radiológico na TC no reconhecimento de situações de IFFI noutras localizações para além da região pericólica. AbstractTorsion of the fatty appendage of the falciform ligament, part of the spectrum of conditions known as intra-abdominal focal fat infarction (IFFI), is very rare with less than 20 cases reported on imaging so far. Here we report a case of torsion of the lipomatous appendage of the falciform ligament in a middle-aged female, diagnosed on ultrasound and computed tomography (CT). CT showed classical "hyperattenuating rim" sign in the anterior perihepatic space adjacent to the falciform ligament. We re-emphasize the importance of "hyperattenuating rim" sign on CT in recognizing IFFI in locations other than the pericolic region.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Unusual Cause of Epigastric Pain: Intra-Abdominal Focal Fat Infarction Involving Appendage of Falciform Ligament - Case Report and Review of Literature

Indiran¹,

Dixit²,

Maduraimuthu³

2017

GE Port J Gastroenterol

View full text Add to dashboard Cite

show abstract

“…In a recent large pictorial review we have revisited the spectrum of intraperitoneal focal fat infarction -IFFI -a term including various acute abdominal conditions in which focal fatty tissue necrosis represents the common pathologic denominator (1). The option of conservative treatment after a very specific imaging diagnosis -today mostly obtained through ultrasound but merely through CT evaluation -now represents the other common denominator of IFFI.…”

mentioning

confidence: 99%