Omental panniculitis: An unusual cause of acute appendiceal syndrome

CT Findings of Benign Omental Lesions Following Abdominal Cancer Surgery

“…7). CT can also reveal a fat-ring sign and tumoral pseudocapsule, similar to features of intra-abdominal panniculitis in other sites (31)(32)(33)(34)(35).…”

“…In particular, isolated omental involvement is extremely rare. Currently, only 5 cases of isolated omental panniculitis are reported in the literature (31)(32)(33)(34)(35).…”

Isolated omental panniculitis in a child with abdominal pain. Case report

“…4 Because the omental involvement is extremely rare, the prior 3 adult patients with isolated omental panniculitis were operated because of abdominal tenderness or suspected malignant diseases. [11][12][13] In the latter reported case, Jeon et al have decided to take a CT-guided biopsy based on the CAT scan features of the mass (presence of highattenuating mesenteric fat and tumoral pseudo capsule) and treated the patient with low dose prednisolone. 10 We operated the patient because of the persistence of abdominal tenderness, vomiting and possible malignant origin.…”

“…In one of these cases the medical treatment contributed to the cause of the panniculitis, while the other three were idiopathic. [10][11][12][13] There is no consensus on the management of patients with intraabdominal panniculitis. Drug therapy is not standardized and a variety of anti-inflammatory, immunomodulatory and antifibrotic agents are used according to the stage of the disease.…”

“…Drug therapy is not standardized and a variety of anti-inflammatory, immunomodulatory and antifibrotic agents are used according to the stage of the disease. 12 If medical therapy fails or in the last phase when extensive fibrosis causes life threatening complications such as bowel obstruction or perforation; surgical intervention is mandatory. 13 At the former appendectomy operation of our patient, the affected omentum was slightly attached to the appendix, and was not removed.…”