Woman 44 yo pain at RLQ and fever for 2 weeks, being treated ambulatory with antibiotics.In clinical examination of abdomen wall at RLQ is edema, induration and pain in compression.
Ultrasound shows the abdomen wall thickening with edema and fluid in muscle
(us 1); no air or blood supply of this site (us2), us 3: the great omentum is thickening and adherent to abdominal wall; us4= small intestine walled-off.
MSCT with CE= the wall of abdomen is edema and great omentum is coveredRLQ site(CT1); CT2: edema of abdomen wall; CT3: sagittal view.
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Blood tests: WBC rised to 20k; highCRP= 30ng/mL.
Clinical diagnosis is suspected plastron appendiculaire .
Normal coecum is looking in colono-endoscopy.
Operation for removing a very big hard mass of great omentum, (see macro1, 2)
and report of surgeon is lookedlike tumor.
MICROSCOPIC REPORT IS INFLAMATION ..NO TUMOR CELL.
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CONCLUSION: INFLAMATION of PSEUDOTUMOR from GREAT OMENTUM.