Idiopathic Isolated Omental Panniculitis Confirmed by Percutaneous CT-Guided Biopsy.
- Author:
Eun Jung JEON
1
;
Song Mee CHO
Author Information
1. Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Panniculitis;
Peritoneal;
Tomography, X-ray computed
- MeSH:
Adipose Tissue;
Biopsy;
Humans;
Middle Aged;
Orientation;
Panniculitis;
Panniculitis, Peritoneal;
Tomography, X-Ray Computed
- From:Gut and Liver
2009;3(4):321-324
- CountryRepublic of Korea
- Language:English
-
Abstract:
The preoperative diagnosis of intraabdominal panniculitis is difficult due to its rarity. However, the increased use of abdominal computed tomography (CT) for a variety of indications has increased the diagnosis of intraabdominal panniculitis, including omental panniculitis. The characteristic CT features of intraabdominal panniculitis are increased attenuation of the adipose tissue, the fat-ring sign, a tumoral pseudocapsule, soft-tissue nodules, and a left-sided orientation of mass maximum transverse diameter. Recognition of these features is valuable in the diagnosis of panniculitis, and hence percutaneous CT-guided biopsy to determine their presence may prevent unwarranted surgery. We report the case of a 61-year-old man found to have an idiopathic isolated omental panniculitis that was diagnosed by abdominal CT and percutaneous CT-guided biopsy.
