PMC9647286_01
CT abdomen showing thickened area adjacent to right colon with fat stranding.
(a) Coronal view, (b) Axial view.
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It showed a thickened area adjacent to right colon with fat stranding (Figure 1).
Laparoscopic images showing necrotic omental mass with inflamed peritoneum
over anterior abdominal wall.
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However, there was an inflammatory mass consisting of necrotic omentum adherent to the mid-ascending colon (Figure 2).
Necrotic segment of omentum.
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Omental attachment to ascending colon was released, and omentectomy (Figure 3) was performed along with an appendicectomy.
Lobules of omental fat showing areas of necrosis. H&E x 40.
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The histology of the omental specimen revealed lobules of adipose tissue showing septal necrosis, a mild-to-moderate infiltrate of acute and chronic inflammatory cells and fat necrosis in the adjacent lobules (Figures 4 and 5).
Areas of fat necrosis. H&E x 100.
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The histology of the omental specimen revealed lobules of adipose tissue showing septal necrosis, a mild-to-moderate infiltrate of acute and chronic inflammatory cells and fat necrosis in the adjacent lobules (Figures 4 and 5).