An omental abscess mimicking an intra-abdominal tumor

Hung, Chih-Chiang; Chou, Chia-Man; Chen, Hou-Chuan

doi:10.1016/j.jcma.2011.12.013

Cited by 4 publications

(6 citation statements)

References 8 publications

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“…However, their recommendation is now out of date due to the high level of development of direct visualization techniques (US, CT, magnetic resonance imaging). In our case, the diagnosis was confirmed by US only, but in difficult cases CT can improve the diagnostic accuracy [18], as in other omental lesions, for example, partial torsions and infarctions [19].…”

Section: Discussionmentioning

confidence: 45%

A Very Rare Complication After Appendectomy in a Young Adult Patient: Abscess of the Greater Omentum

Shiryajev

2014

J Med Cases

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An 18-year-old male patient was operated on for perforated appendicitis. An appendectomy combined with an omental resection was performed. On the 6th postoperative day, chickenpox was diagnosed, and the patient was transferred to an infectious diseases hospital. On the 16th postoperative day, the patient was readmitted with pain in the area of the postoperative scar, and body temperature of 38 °С. Substantial tenderness in the right iliac fossa without rigidity and peritoneal irritation was found on examination. By ultrasonography, a non-homogeneous hypoechoic mass measuring 40 × 37 mm without clear borders in the right iliac fossa was visualized, with a small amount of free fluid. The patient was reoperated on. An abscess of the greater omentum was found, and resection of an omental mass with the abscess cavity was performed. The postoperative course was uneventful, and the patient was discharged on the 15th day. We discuss previously published data on postoperative omentitis and omental abscess. Our case is a very rare case of an omental abscess that developed after appendectomy in a young adult patient.

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Section: Discussionmentioning

confidence: 45%

A Very Rare Complication After Appendectomy in a Young Adult Patient: Abscess of the Greater Omentum

Shiryajev

2014

J Med Cases

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“…(1,2). Omental abscess developed long after appendectomy may be mistaken as an intraabdominal tumor (2). Indolent omental inflammation may be provoked in some cases.…”

Section: Discussionmentioning

confidence: 99%

“…In challenging cases, CT may also use locally. (2). Other omental lesions include omental torsion, and infarct (9).…”

Section: Discussionmentioning

confidence: 99%

“…(11). Up to now optimal treatment of omental abscess still continues to be omental resection (2,12). Prevention of purulent omentitis is possible with correct application of omental resection.…”

Section: Discussionmentioning

confidence: 99%

“…Greater omental abscess is an extremely rare condition among intraabdominal abscesses. As reported in previous publications, it can develop on postoperative 16. day (1) or 2 years after the appendectomy (2). Omental abscess is rarely considered in the differential diagnosis of appendectomized patients.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

An extremely rare complication after appendectomy in a child: indicators for omental abscess, CRP and Leukocytosis

Sarsu

2016

Med Sci and Discov

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Omental abscess due to a spilled gallstone after laparoscopic cholecystectomy

Urade

Sawa

Murata

et al. 2018

Clin J Gastroenterol

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Omental abscess due to a spilled gallstone is extremely rare after laparoscopic cholecystectomy. Herein, we report a 68-year-old man who presented with left upper abdominal pain after laparoscopic cholecystectomy for gangrenous cholecystitis. Seven months prior to admission, gallbladder perforation with spillage of pigment gallstones and bile occurred during laparoscopic cholecystectomy. The spilled gallstones were retrieved through vigorous peritoneal lavage. Abdominal computed tomography showed a 3 × 2.5 cm intra-abdominal heterogeneous mass, suspected to be an omental abscess, and ascites around the spleen. Exploratory laparoscopy revealed an inflammatory mass within the greater omentum. Laparoscopic partial omentectomy and abscess drainage were performed, and a small black pigment gallstone was unexpectedly found in the whitish abscess fluid. Abscess fluid culture results were positive for extended-spectrum β-lactamase-producing Escherichia coli and Streptococcus salivarius, which were previously detected in the gangrenous gallbladder abscess. The histopathological diagnosis was abscess in the greater omentum. Postoperative course was uneventful, and the patient was discharged 13 days later. In conclusion, we report a successful case of laparoscopic management of an omental abscess due to a spilled gallstone after LC. It is important to attempt to retrieve spilled gallstones during LC because they may occasionally result in serious complications.

show abstract

An omental abscess mimicking an intra-abdominal tumor

Cited by 4 publications

References 8 publications

A Very Rare Complication After Appendectomy in a Young Adult Patient: Abscess of the Greater Omentum

A Very Rare Complication After Appendectomy in a Young Adult Patient: Abscess of the Greater Omentum

An extremely rare complication after appendectomy in a child: indicators for omental abscess, CRP and Leukocytosis

Omental abscess due to a spilled gallstone after laparoscopic cholecystectomy

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