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Journal of Gastroenterology & Hepatology Reports

Case Series of Common Omental and Mesenteric Pathologies

Author(s): Dhatri Kallala*, Balaji Varaprasad Mallula, Srinadh Boppana, Santhosh Jitta and Govardhan Das Joel

Radiological imaging plays a crucial role in the diagnosis and management of a wide range of abdominal pathologies, including those affecting the omentum and mesentery. The omentum and mesentery are important structures in the abdominal cavity, serving a variety of functions, such as providing support to the gastrointestinal tract and facilitating the flow of lymph and blood. Pathologies affecting the omentum and mesentery can result in a wide range of clinical presentations, from mild discomfort to life-threatening complications. Omentum and mesentery are involved in various benign and malignant pathologies like omental infarction, omental torsion, encapsulated fat necrosis, fat saponification due to trauma or pancreatitis, mesenteric panniculitis, epiploic appendagitis, omental nodules and caking in infective and malignant conditions like tuberculosis, peritoneal carcinomatosis and metastasis. Sometimes, there exists a diagnostic dilemma between the benign condition like focal encapsulated fat necrosis and malignant condition like liposarcoma, localized peritoneal carcinomatosis. Therefore, Radiological imaging techniques, such as computed tomography (CT) and magnetic resonance imaging (MRI), are invaluable tools for the diagnosis of omental and mesenteric pathologies. In this context, radiologists play a vital role in the accurate interpretation of imaging studies, enabling timely and appropriate management of these complex and often challenging conditions.

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