CLINICAL ASPECTS AND METHODS OF ASSESSMENT OF DISEASES OF THE LARGE OMENTUM
Abstract
Diagnosis of omentum diseases presents significant difficulties due to the lack of organ-specific symptoms and difficulties in differentiating with pathological processes in neighboring organs. Traditional radiological and imaging techniques such as ultrasound and CT are not always effective, and the final diagnosis is often made only during laparoscopy or laparotomy. Clinical manifestations of omentum diseases can be divided into three main groups: involvement of a large volume of tissue, acute vascular pathologies and acute inflammation. Solid tumors and omentum cysts may be asymptomatic and may be detected by accident. Clinical symptoms often depend on the nature of the neoplasm. Ultrasound and CT scans allow for more accurate localization and assessment of the size of the formations, but are limited in detecting minor pathologies. This lecture is aimed at familiarizing young specialists with the problem of differential diagnosis and methods of assessing diseases of the large omentum.
References
Brenkman HJF., van der Wielen N.I., Ruurda J.P., van Leeuwen M.S., Scheepers JJG., van der Peet D.L., van Hillegersberg R., Bleys RLAW., Cuesta M.A. Surgical anatomy of the omental bursa and the stomach based on a minimally invasive approach: different approaches and technical steps to resection and lymphadenectomy. J Thorac Dis. 2017;9(Suppl 8):S809–S816. DOI: 10.21037/jtd.2017.07.52.
Elkrief L., Payancé A., Plessier A., d’Alteroche L., Ronot M., Paradis V., Valla D., Rautou P.E. Management of splanchnic vein thrombosis. JHEP Rep. 2023;5(4):100667. DOI: 10.1016/j.jhepr.2022.100667.
García M.R. et al. Peritoneal Carcinosis: What the Radiologist Needs to Know. Diagnostics (Basel). 2023;13(11):1974. DOI: 10.3390/diagnostics13111974.
McClure M.J., Khalili K., Sarrazin J., Hanbidge A. Radiological features of epiploic appendagitis and segmental omental infarction. Clin Radiol. 2001;56(10):
–27. DOI: 10.1053/crad.2001.0848.
Park T.U., Oh J.H., Chang I.T., Lee S.J., Kim S.E., Kim C.W., Choe J.W., Lee K.J. Omental infarction: case series and review of the literature. J Emerg Med. 2012;42(2):149–54. DOI: 10.1016/j.jemermed.2008.07.023. Epub 2008 Dec 20.
Reginelli A., Giacobbe G., Del Canto M.T., Alessandrella M., Balestrucci G., Urraro F., Russo G.M., Gallo L., Danti G., Frittoli B., Stoppino L., Schettini D., Iafrate F., Cappabianca S., Laghi A., Grassi R., Brunese L., Barile A., Miele V. Peritoneal Carcinosis: What the Radiologist Needs to Know. Diagnostics (Basel). 2023;13(11):1974. DOI: 10.3390/diagnostics13111974.
Ross M.S., Elishaev E., Berger J.L., Kelley J.L., Taylor S.E. Prognostic Significance of omental Disease and the Role of Omental Sampling in Patients With Uterine Carcinosarcoma. Int J Gynecol Cancer. 2018;28(2):254–259. DOI: 10.1097/IGC.0000000000001176.
Sauerland S., Agresta F., Bergamaschi R., Borzellino G., Budzynski A., Champault G., Fingerhut A., Isla A., Johansson M., Lundorff P., Navez B., Saad S., Neugebauer E.A. Laparoscopy for abdominal emergencies: evidence-based guidelines of the European Association for Endoscopic Surgery. Surg Endosc. 2006;20(1):14–29. DOI: 10.1007/s00464-005-0564-0. Epub 2005 Oct 24.
Salky B.A., Edye M.B. The role of laparoscopy in the diagnosis and treatment of abdominal pain syndromes. Surg Endosc. 1998;12(7):911–4. DOI: 10.1007/s004649900744.
