case_images: PMC4724786_01
case_images: (a) Omentum adherent to sigmoid colon, (b) blunt dissection of inflamed omentum off underlying pathology, (c) sigmoid appendix epiploica appears secondarily inflamed and (d) underlying torted omentum displaying a sharp line of demarcation.
case_images: rjv17001.jpg
case_images: PMC4724786_01_rjv17001.jpg
case_images: RJV170F1
case_images: On further examination, an inflammatory process was identified in the pelvis involving an omental inflammatory adhesion to the region of the distal sigmoid colon (Fig. 1a). The inflamed omentum was gently dissected off an adhered sigmoid appendix epiploica, which appeared secondarily inflamed (Fig. 1c). Once mobilized, the omentum demonstrated a thin projection that had torted and had subsequently become necrotic (Fig. 1b).