Inflammatory Pseudotumor of the Omentum in Contrast-enhanced Ultrasound

J Ultrason. 2023 Feb 28;23(92):32-34. doi: 10.15557/JoU.2023.0006. eCollection 2023 Jan.

Abstract

Aim of the study: Inflammatory pseudotumor is a rare benign tumor that can occur at various body sites. Due to its rare occurrence and histological variety radiological data is heterogeneous and limited.

Case description: We present a case of a 71-year-old man with inflammatory pseudotumor of the omentum. Contrast-enhanced ultrasound perfusion pattern showed homogeneous, isoechoic enhancement in the arterial phase with a washout phenomenon in the parenchymal phase, mimicking a peritoneal carcinomatosis.

Conclusions: Inflammatory pseudotumor represents a rare, but important benign differential diagnostic option when considering a malignant disorder. Contrast-enhanced ultrasound is helpful in identifying vital tissue for a targeted biopsy for subsequent histological examination that is essential for the exclusion of malignancy.

Keywords: CEUS; IPT; contrast-enhanced ultrasound; inflammatory pseudotumor; omentum.