Presentation
Sudden onset of severe abdominal pain right to the umbilical region.
Patient Data
Immediately deep to the anterior abdominal wall, in the right side of the umbilical region, and anterior to ileum loop, there is a circumscribed focal area of the fat stranding measuring about 15 x 30 x 55 mm with a hyperdense peripheral halo that shows central swirling omental vessels.
A hypodense cortical cyst measuring about 25 mm is present at the left kidney mid-pole.
Case Discussion
The clinical diagnosis of omental infarction is difficult and frequently an abdominal CT scan is required to establish the diagnosis. The patient was advised to rest, and take analgesics, with subsequent remission after 5 days.