Secondary Omental Infarction Related to Open and Laparoscopic-Assisted Distal Gastrectomy: Report of Two Cases.
10.3348/kjr.2011.12.6.757
- Author:
Kyung Eun PARK
1
;
Dong Jin CHUNG
;
Wook KIM
;
Seong Tae HAHN
;
Jae Moon LEE
Author Information
1. Department of Radiology, St. Mary's Hospital, The Catholic University of Korea, Seoul 150-713, Korea. bookdoo7@chollian.net
- Publication Type:Case Report
- Keywords:
Omental infarction;
Gastrectomy;
CT;
Carcinomatosis peritonei
- MeSH:
Aged;
Female;
Gastrectomy/*adverse effects;
Humans;
Infarction/*etiology/radiography;
Laparoscopy/*adverse effects;
Middle Aged;
Omentum/*blood supply/radiography/surgery;
Stomach Neoplasms/surgery;
Tomography, X-Ray Computed
- From:Korean Journal of Radiology
2011;12(6):757-760
- CountryRepublic of Korea
- Language:English
-
Abstract:
Omental infarction occurring after open and laparoscopic-assisted distal gastrectomy with partial omentectomy for gastric cancer was a very rare disease in the past, but its incidence has increased as more partial omentectomies are now being performed. But there are few case reports or radiologic studies on its increasing incidence. It is necessary to differentiate omental infarction from carcinomatosis peritonei, since both have similar imaging findings. In this report, we describe two cases of omental infarction; each occurred after open and laparoscopic-assisted distal gastrectomy in early gastric cancer patients. Partial omentectomy was performed in both cases. Omental infarction following distal gastrectomy with partial omentectomy can be discriminated from carcinomatosis peritonei by comparing with different initial and follow up CT findings.
