Devos Hannes, Goethals Lode, Belsack Dries, Brucker Yannick De, Allemeersch Gert-Jan, Ilsen Bart, Vandenbroucke Frederik, de Mey Johan
UZ Brussel, Belgium.
Pol J Radiol. 2020 Jan 21;85:e32-e38. doi: 10.5114/pjr.2020.93070. eCollection 2020.
Intra-abdominal fat is abundantly present in both the peritoneum and retroperitoneum. Fat necrosis or inflammation are common findings in abdominal imaging. The most common pathologies that we encounter are epiploic appendagitis, omental infarction, mesenteric panniculitis, and encapsulated fat necrosis. Less common entities that can occur are pancreatic saponification, heterotopic mesenteric ossification, and pseudolipoma of the capsule of Glisson. These entities can mimic more urgent pathologies such as appendicitis, diverticulitis, or malignancies.
腹腔内脂肪大量存在于腹膜和腹膜后间隙。脂肪坏死或炎症是腹部影像学检查中的常见表现。我们遇到的最常见病理情况是网膜附件炎、网膜梗死、肠系膜脂膜炎和包裹性脂肪坏死。较少见的情况包括胰腺皂化、异位肠系膜骨化和肝门Glisson囊假脂肪瘤。这些病变可能会模仿更紧急的病理情况,如阑尾炎、憩室炎或恶性肿瘤。