Indian Journal of Radiology Indian Journal of Radiology  

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INTERVENTIONAL Table of Contents   
Year : 2010  |  Volume : 20  |  Issue : 4  |  Page : 307-309
Ultrasound-guided omental biopsy: Review of 173 patients

Department of Radiology, Christian Medical College, Vellore, Tamil Nadu - 632 004, India

Correspondence Address:
Shyamkumar N Keshava
Department of Radiology, Christian Medical College, Vellore, Tamil Nadu - 632 004
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-3026.73533

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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.

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