“Hard boiled egg” in peritoneal cavity

Janzen, Jan; Rothenberger-Janzen, K; Giannini, Olivier

doi:10.1016/s0140-6736(05)75905-5

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Epiploic Appendagitis1

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2011

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“…For instance, a mobile twisted epiploic appendage may calcify, often in the periphery, or a rim of soft tissue composed of fibrous connective tissue may form around the mass (Figs 5, 6) (10). Case reports have described a "hard-boiled egg" appearance of chronically avulsed epiploic appendagitis with central calcification (11).…”

Section: Epiploic Appendagitismentioning

confidence: 99%

Imaging Manifestations of Abdominal Fat Necrosis and Its Mimics

Kamaya¹,

Federle²,

Desser³

2011

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Intraabdominal fat is a metabolically active tissue that may undergo necrosis through a number of mechanisms. Fat necrosis is a common finding at abdominal cross-sectional imaging, and it may cause abdominal pain, mimic findings of acute abdomen, or be asymptomatic and accompany other pathophysiologic processes. Common processes that are present in fat necrosis include torsion of an epiploic appendage, infarction of the greater omentum, and fat necrosis related to trauma or pancreatitis. In addition, other pathologic processes that involve fat may be visualized at computed tomography, including focal lipohypertrophy, pathologic fat paucity (lipodystrophies), and malignancies such as liposarcoma, which may mimic benign causes of fat stranding. Because fat necrosis and malignant processes such as liposarcoma and peritoneal carcinomatosis may mimic one another, knowledge of a patient's clinical history and prior imaging studies is essential for accurate diagnosis.

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Section: Epiploic Appendagitismentioning

confidence: 99%