case_images: PMC4721126_01
case_images: (a) Well-defined focal hyperechoic area of fat abutting the anterior abdominal wall adjacent to the ascending colon. (b) Color Doppler may show increased surrounding vascularity
case_images: JIAPS-21-33-g001.jpg
case_images: PMC4721126_01_JIAPS-21-33-g001.jpg
case_images: F1
case_images: There was increased peripheral color flow on color and power Doppler evaluation [Figure 1a and b].
case_images: (a) Computed tomography axial scan shows encapsulated fatty lesion abutting the anterior abdominal wall adjacent to the ascending colon. (b) Computed tomography axial scan shows twisting and swirling of the vessels (arrow) with surrounding fat stranding likely the thrombosed omental veins. (c) Ultrasonography done after 6 weeks shows reduction in the size of the hyperechoic lesion (arrow) abutting the anterior abdominal wall
case_images: JIAPS-21-33-g002.jpg
case_images: PMC4721126_01_JIAPS-21-33-g002.jpg
case_images: F2
case_images: Twisting and swirling of the vessels were seen within the lesion likely the thrombosed omental veins [Figure 2a and b]. On subsequent follow-up, there was subsidence of pain and tenderness with a decrease in the size of the lesion on ultrasound evaluation after 6 weeks [Figure 2c].