Document Detail


Contribution of US and CT for diagnosis of intraperitoneal focal fat infarction (IFFI): a pictorial review.
MedLine Citation:
PMID:  20957887     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The term IFFI--for intraperitoneal focal fat infarction--includes various acute abdominal clinical conditions in which focal fatty tissue necrosis represents the common pathologic denominator. Only differing by their various anatomical locations and dimensions, all cases nevertheless present rather similar clinical signs, aetiology, radiological features and prognosis. In clinical practise, most cases of IFFI concern torsion and/or infarction of the greater omentum or epiploic appendages. Rarer types of torsion and/or infarction of lipomatous appendages of the hepatic falciform ligament and of the lesser omentum have also been reported. Cases are finally described in the paediatric population. US and merely CT have been shown having a high sensitivity and specificity for the diagnosis of IFFI and in most cases the clinical evolution is spontaneously favourable. For these two reasons, the option of conservative treatment after specific imaging diagnosis now represents the other common denominator of IFFI. Such a safe and unambiguous imaging diagnosis of IFFI represents thus an important challenge for each abdominal radiologist with the intention of persuading the referent clinician to avoid unnecessary surgery for their patients. The aim of this pictorial review is to extensively explore not only the classical imaging findings of various types of IFFI but also to review the normal US and MDCT anatomy of the fatty abdominal structures being usually implicated in IFFI. More rare or atypical presentations are also illustrated as well as subacute findings and sequels. All reported patients were collected in our department during a 7-year-period and most were successfully treated conservatively.
Authors:
B Coulier
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  JBR-BTR : organe de la Société royale belge de radiologie (SRBR) = orgaan van de Koninklijke Belgische Vereniging voor Radiologie (KBVR)     Volume:  93     ISSN:  0302-7430     ISO Abbreviation:  JBR-BTR     Publication Date:    2010 Jul-Aug
Date Detail:
Created Date:  2010-10-20     Completed Date:  2010-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100888280     Medline TA:  JBR-BTR     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  171-85     Citation Subset:  IM    
Affiliation:
Department of Diagnostic Radiology, Clinique St. Luc, Bouge, Belgium. bcoulier@skynet.be
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MeSH Terms
Descriptor/Qualifier:
Abdomen, Acute / etiology,  radiography,  ultrasonography
Adipose Tissue / radiography*,  ultrasonography*
Colon / blood supply,  radiography,  ultrasonography
Contrast Media
Diagnosis, Differential
Humans
Infarction / radiography*,  ultrasonography*
Necrosis
Omentum / blood supply,  radiography,  ultrasonography
Peritoneal Diseases / radiography*,  ultrasonography*
Sensitivity and Specificity
Tomography, X-Ray Computed / methods*
Torsion Abnormality / radiography,  ultrasonography
Chemical
Reg. No./Substance:
0/Contrast Media

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