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KMID : 1188320090030040321
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Gut and Liver
2009 Volume.3 No. 4 p.321 ~ p.324
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Idiopathic Isolated Omental Panniculitis Confirmed by Percutaneous CT-Guided Biopsy
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Jeon Eun-Jung
Cho Song-Mee
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Abstract
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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.
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KEYWORD
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Panniculitis, Peritoneal, Tomography, X-ray computed
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