04Jan 2018

OMENTAL INFARCTION: A RARE CAUSE OF AN ACUTE ABDOMEN IN THE EMERGENCY DEPARTMENT: A CASE REPORT.

  • Medical Intern, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
  • Medical Intern, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.
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Omental infarction is an unusual cause of acute abdominal pain in adults. Usually the condition similar to common causes of acute abdomen such as acute cholecystitis, acute appendicitis or acute pancreatitis. We report the case of a 50 -year-old women who presented with a 1-day history of severe right-sided abdominal pain mimicking acute appendicitis. Abdominal computed tomography scan revealed heterogeneous, localized, segmental omentum fat stranding infraction seen in the lower right quadrant, suspicious for omental infarction. She was started on conservative management with analgesics and hydration. She improved symptomatically and was discharged.

  1. Eitel CG. Rare omental torsion. NY Med Rec. 1899;55:715.
  2. Kerem M, Bedirli A, Mentes BB, Sakrak O, Pala I, Oguz M. Torsion of the greater omentum: preoperative computed tomographic diagnosis and therapeutic laparoscopy. JSLS: Journal of the Society of Laparoendoscopic Surgeons. 2005;9(4):494-6.
  3. Lo C-P, Chen T-W, Liu H-D, Liu C-H, Chen C-Y, Yu C-Y. CT diagnosis of primary torsion of the greater omentum. European Journal of Radiology Extra. 2004;52:69?72.
  4. Battaglia L, Belli F, Vannelli A, Bonfanti G, Gallino G, Poiasina E, et al. Simultaneous idiopathic segmental infarction of the great omentum and acute appendicitis: a rare association. World Journal of Emergency Surgery. 2008;3(1):30.
  5. Balthazar EJ, Lefkowitz RA. Left-Sided Omental Infarction with Associated Omental Abscess. Journal of Computer Assisted Tomography. 1993;17:379?81
  6. Steyaert H, Valla JS. Laparoscopic approach to primary infarction of the greater omentum. Surgical laparoscopy & endoscopy. 1997;7(2):97-8.
  7. Ho CL, Devriendt H. Idiopathic segmental infarction of right sided greater omentum. Case report and review of the literature. Acta chirurgica 2004;104(4):459-61.
  8. Danikas D, Theodorou S, Espinel J, Schneider C. Laparoscopic Treatment of Two Patients with Omental Infarction Mimicking Acute Appendicitis. JSLS : Journal of the Society of Laparoendoscopic Surgeons. 2001;5(1):73-75.
  9. Singh AK, Gervais DA, Lee P. Omental infarct: CT imaging features. Abdom Imaging 2006;31:549-54.
  10. Grattan-Smith JD, Blews DE, Brand T. Omental infarction in pediatric patients: sonographic and CT findings. Am J Roentgenol. 2002;178:1537-9.
  11. Kavalakat AJ, Varghese CJ. Laparoscopic management of an uncommon cause for right lower quadrant pain: A case report. Cases Journal 2008;1:164.
  12. AbdulAziz A, El Zalabany T, Al Sayed AR, Al Ansari A. Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report. Case Reports in Surgery. 2013;2013:3.

[Majdi S. Alzahrani, Mohammad A. Samman and Ziyad A. Turkistani. (2018); OMENTAL INFARCTION: A RARE CAUSE OF AN ACUTE ABDOMEN IN THE EMERGENCY DEPARTMENT: A CASE REPORT. Int. J. of Adv. Res. 6 (Jan). 445-448] (ISSN 2320-5407). www.journalijar.com

DR. Majdi Saleh Alzahrani
Medical Intern, Faculty of Medicine, Umm Al-Qura University, Makkah, Saudi Arabia.

DOI:

Article DOI: 10.21474/IJAR01/6240      
DOI URL: https://dx.doi.org/10.21474/IJAR01/6240

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