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Fig. 4E. —10-year-old girl with abdominal pain for 3 days and leukocyte count at upper limit of normal range. Photograph of gross pathologic specimen shows folds of omentum forming necrotic and hemorrhagic layers in central region (large arrows), surrounded by peripheral rim of well-preserved adipose tissue (arrowheads). Folds are separated from preserved peripheral tissue by thin streak of fibrosis (small arrows). Size and form of folded infarcted omental tissue conformed to color Doppler sonographic measurements of avascular hypoechoic tubular structure. Scale: centimeters.