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Paper 2
Published in Amanda Rabone, Benedict Thomson, Nicky Dineen, Vincent Helyar, Aidan Shaw, The Final FRCR, 2020
Amanda Rabone, Benedict Thomson, Nicky Dineen, Vincent Helyar, Aidan Shaw
The differential lies between omental infarction and epiploic appendagitis. Epiploic appendagitis is most common in the rectosigmoid and ileocaecal regions; however, omental infarction is most likely adjacent to the ascending colon. The fact that this lesion is relatively large (>3 cm) is also more consistent with omental infarction. Both conditions cause high attenuation within the fat but epiploic appendagitis classically has additional features which may aid differentiation, including a hyperdense rim and a central hyperdense dot.
Test Paper 5
Published in Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike, Get Through, 2017
Teck Yew Chin, Susan Cheng Shelmerdine, Akash Ganguly, Chinedum Anosike
Primary omental infarction is often a haemorrhagic infarction resulting from vascular compromise related to the tenuous blood supply to the right edge of the omentum or to kinking of veins, usually those on the right side, deep within the anterior pelvis in the inferior extent of the omentum. Some omental infarcts are related to a combination of the reduced arterial and venous blood flow that occurs in hypercoagulable states, congestive heart failure and vasculitis. Secondary omental infarction may occur after a traumatic injury as a result of surgical trauma or inflammation of the omentum. Often, the site of secondary infarction is near the surgical site rather than in the right lower quadrant, the typical location of primary omental infarction.
Vague abdominal pain after Roux-en-Y gastric bypass: not always an internal herniation: case report and literature review
Published in Acta Chirurgica Belgica, 2020
T. Allaeys, V. Dhooghe, S. Nicolay, G. Hubens
The most common late complications reported are anastomotic stricture, bowel obstruction, gallstone formation, ulcer disease, fistula formation and nutritional deficiencies [1–5,7]. Greenstein and O’Rourke [7] also reports omental infarction, bezoar and functional disorders such as irritable bowel syndrome and off course dumping syndrome.