Aguilar-García J J, Alcaide-León P, Vargas-Serrano B
Unidad de Gestión Clínica de Radiodiagnóstico, HH.UU. Virgen del Rocío, Sevilla, España.
Radiologia. 2012 Sep-Oct;54(5):449-56. doi: 10.1016/j.rx.2011.07.006. Epub 2011 Oct 22.
The processes that course with intraabdominal fat necrosis often manifest with acute or subacute abdominal pain; these clinical findings can be caused by various conditions, including epiploic appendagitis, omental infarction, encapsulated fat necrosis, mesenteric panniculitis, appendicitis, diverticulitis, and certain neoplasms. In this context, although the anatomic location of the pain and accompanying symptomatology can help orient the diagnosis, there is a risk of unnecessary surgery. Imaging tests like ultrasonography and especially computed tomography are essential for diagnosing intraabdominal fat necrosis. Radiologists must be familiar with the characteristic findings for all the conditions that can cause acute or subacute abdominal pain to ensure appropriate management and prevent unnecessary surgery.
伴有腹腔内脂肪坏死的病程通常表现为急性或亚急性腹痛；这些临床表现可能由多种情况引起，包括网膜附件炎、网膜梗死、包裹性脂肪坏死、肠系膜脂膜炎、阑尾炎、憩室炎以及某些肿瘤。在这种情况下，尽管疼痛的解剖位置和伴随症状有助于诊断，但存在不必要手术的风险。超声检查尤其是计算机断层扫描等影像学检查对于诊断腹腔内脂肪坏死至关重要。放射科医生必须熟悉所有可导致急性或亚急性腹痛的疾病的特征性表现，以确保适当的处理并防止不必要的手术。
