Abstract
We describe the radiological and intraoperative correlation of a large omental hematoma with active intra-abdominal bleeding secondary to omental lacerations in a 75-year-old man following blunt trauma from a motor vehicle accident. The purpose of this article is to emphasize the importance of recognizing omental and mesenteric injuries in trauma patients, as these injuries are rare and can be overlooked on CT.
Similar content being viewed by others
References
Rizzo MJ, Federle MP, Griffiths BG (1989) Bowel and mesenteric injury following blunt abdominal trauma: evaluation with CT. Radiology 173(1):143–148
Sompayrac SW, Mindelzun RE, Silverman PM et al (1997) The greater omentum. AJR Am J Roentgenol 168(3):683–687
Ghiatas A, Fischer R (1994) CT of spontaneous hematoma of omentum. Eur Radiol 4(5):474–475
Hughes TM, Elton C (2002) The pathophysiology and management of bowel and mesenteric injuries due to blunt trauma. Injury 33(4):295–302
Brofman N, Atri M, Hanson JM et al (2006) Evaluation of bowel and mesenteric blunt trauma with multidetector CT. Radiographics : A Review Publication of the Radiological Society of North America, Inc 26(4):1119–1131
Roszler M (1998) Blunt abdominal trauma: computed tomography, ultrasound, or diagnostic peritoneal lavage: when and by whom? Emerg Radiol 5(6):403–409
Lebedis CA, Anderson SW, Soto JA (2012) CT imaging of blunt traumatic bowel and mesenteric injuries. Radiol Clin North Am 50(1):123–136
Heller MT, Hattoum A (2012) Imaging of acute right lower quadrant abdominal pain: differential diagnoses beyond appendicitis. Emerg Radiol 19(1):61–73
Van Breda Vriesman AC, Lohle PN, Coerkamp EG et al (1999) Infarction of omentum and epiploic appendage: diagnosis, epidemiology and natural history. Eur Radiol 9(9):1886–1892
Hines J, Rosenblat J, Duncan DR et al (2013) Perforation of the mesenteric small bowel: etiologies and CT findings. Emerg Radiol 20(2):155–161
Scaglione M, Pinto F, Lassandro F et al (2002) Value of contrast-enhanced CT for managing mesenteric injuries after blunt trauma: review of five-year experience. Emerg Radiol 9(1):26–31
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Saboo, S.S., Khurana, B., Desai, N. et al. BWH emergency radiology-surgical correlation. Emerg Radiol 21, 419–421 (2014). https://doi.org/10.1007/s10140-014-1220-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10140-014-1220-6