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Related Concept Videos

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Related Experiment Video

Updated: Jan 28, 2026

Intra-Omental Islet Transplantation Using h-Omental Matrix Islet filliNG hOMING
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Idiopathic omental infarction: managed conservatively.

Brock McMillen1, Daniel Paul Hekman1, Michelle Thuy Tien Nguyen1

  • 1Family Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA.

BMJ Case Reports
|March 11, 2019
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Summary

A 49-year-old woman experienced severe abdominal pain. Imaging revealed omental fat stranding, indicating potential fat necrosis or infarct, managed with supportive care.

Keywords:
emergency medicinegastroenterologygeneral practice / family medicine

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Area of Science:

  • Gastroenterology
  • Radiology

Background:

  • Episodic abdominal pain can present diagnostic challenges.
  • Omental fat stranding on CT is an important imaging finding.

Observation:

  • A 49-year-old female presented with acutely worsening, episodic abdominal pain.
  • Initial workup yielded negative results.

Findings:

  • Computed tomography (CT) of the abdomen demonstrated right upper quadrant omental fat stranding.
  • This finding suggested omental fat necrosis or infarct.

Implications:

  • Highlights the importance of CT in diagnosing obscure abdominal pain.
  • Emphasizes supportive management for suspected omental infarct/necrosis when etiology is unclear.