CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2010; 20(04): 307-309
DOI: 10.4103/0971-3026.73533
Interventional

Ultrasound-guided omental biopsy: Review of 173 patients

Padmapriya Govindarajan
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu - 632 004, India
,
Shyamkumar N Keshava
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu - 632 004, India
› Author Affiliations

Abstract

Background: Omental biopsy has conventionally been performed using a surgical approach. USG-guided omental biopsy is a safe and effective alternative. The purpose of this study was to assess the utility of USG guidance for biopsy of the greater omentum. Study design: Retrospective study. Materials and Methods: We retrospectively reviewed all omental biopsies performed under USG guidance from April 2006 to March 2010 in a tertiary care hospital. Results: One hundred and seventy-three patients were included. Out of these, 82 (47%) patients were diagnosed to have malignancies, 58 (34%) patients had granulomatous inflammation either suggestive of or consistent with tuberculosis, 29 (17%) patients were diagnosed to have inconclusive biopsy results, and 4 (2%) patients had an inadequate sample for histopathological examination. There were no major procedure-related complications. Conclusion: USG-guided biopsy of the omentum is a safe and effective procedure. A thickened omentum can serve as an easily accessible site for biopsy, especially in patients who have ascites of unknown etiology and in those with a history of previous malignancy.



Publication History

Article published online:
02 August 2021

© 2010. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 Yoo E, Kim JH, Kim MJ, Yu JS, Chung JJ, Yoo HS, et al. Greater and lesser omenta: Normal anatomy and pathologic processes. Radiographics 2007;27:707-20.
  • 2 Souza FF, Mortelé KJ, Cibas ES, Erturk SM, Silverman SG. Predictive Value of percutaneous imaging-guided biopsy of peritoneal and omental masses: Results in 111 Patients. AJR Am J Roentgenol 2009;192:131-6.
  • 3 Sompayrac SW, Mindelzun RE, Silverman PM, Sze R. The greater omentum. AJR Am J Roentgenol 1997;168:683-7.
  • 4 Ho LM, Thomas J, Fine SA, Paulson EK. Usefulness of sonographic guidance during percutaneous biopsy of mesenteric masses. AJR Am J Roentgenol 2003;180:1563-6.
  • 5 Spencer JA, Swift SE, Wilkinson N, Boon AP, Lane G, Perren TJ. Peritoneal carcinomatosis: image-guided peritoneal core biopsy for tumor type and patient care. Radiology 2001;221:173-7.
  • 6 Sistrom CL, Abbitt PL, Feldman PS. US guidance for biopsy of omental abnormalities. J Clin US 1992;20:1-88.
  • 7 Gottlieb RH, Tan R, Widjaja J, Fultz PJ, Robinette WB, Rubens DJ. Extravisceral masses in the peritoneal cavity: Sonographically guided biopsy in 52 patients. AJR Am J Roentgenol 1998;171:697-701.