Omental caking describes thick abnormal tissue spread within the fatty apron of the abdomen, often from cancer or severe inflammation.
This is usually a scan finding rather than a symptom itself. Symptoms may come from the underlying disease and include abdominal swelling, pain, weight loss, poor appetite, or fluid in the abdomen.
Imaging helps show how extensive the abnormal tissue spread is and whether there are associated masses, fluid, bowel involvement, or signs suggesting cancer or severe inflammation.
CT is especially useful for showing the extent of disease and related fluid, masses, or peritoneal involvement.
Management depends on the cause and may include oncology workup, biopsy, or treatment of intra-abdominal inflammatory disease.
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