Idiopathic Segmental Infarction of Right Sided Greater Omentum. Case report and review of the literature

Cl, Ho; Devriendt, H

doi:10.1080/00015458.2004.11679595

Cited by 8 publications

(9 citation statements)

References 3 publications

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“…Because of the severity of the presentation of our patient, surgical intervention was advised. Laparoscopic exploration should be considered as it can be both diagnostic and therapeutic and is associated with low morbidity [1, 9–11]. Laparoscopic resection of the involved omentum provides definitive treatment with a short hospitalization and rapid recovery.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report

AbdulAziz¹,

Zalabany²,

Sayed³

et al. 2013

Case Reports in Surgery

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Idiopathic omental infarction is a rare cause of acute abdomen in adults, and the clinical finding can mimic acute appendicitis. Although idiopathic omental infarction is uncommon, the incidence of its detection has become more frequent as a result of advances in radiological technologies. We reported on a 21-year-old man who presented with sudden onset of intermittent right lower quadrant abdominal pain for seven days. The pain became more localized at the right iliac fossa (RIF) at day 2 before admission. A physical examination revealed a fever (38.2°C), severe RIF tenderness, mass-like fullness, and positive rebound tenderness. A CT of the abdomen showed inflammatory changes and increased fat density mass in the right upper quadrant measuring 5 × 4 cm representing focal panniculitis. However, the appendix was visualized normally and the findings were not in favor of acute appendicitis. Diagnosis was carried on laparoscopically. Serosanguinous free fluid was found in all abdominal quadrants. A 6 × 4 cm gangrenous omental mass was noted. The omental mass was excised and an appendectomy was performed. In summary, omental infarction should be considered as a deferential diagnosis for acute right-sided abdominal pain, especially if the clinical finding does not correspond to appendicitis.

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Section: Discussionmentioning

confidence: 99%

Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report

AbdulAziz¹,

Zalabany²,

Sayed³

et al. 2013

Case Reports in Surgery

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“…Various predisposing factors have been implicated including obesity, trauma, recent abdominal surgery, postprandial vascular congestion, sudden increase in intraabdominal pressure, and hypercoagulability [8, 10–12]. Table 1 shows the classification of segmental infarction of the greater omentum.…”

Section: Discussionmentioning

confidence: 99%

“…If surgical intervention is required, then laparoscopic exploration should be considered as it can be both diagnostic and therapeutic and are associated with low morbidity [10, 20, 37, 38]. Of note, up to half of cases of omental infarction is associated with free serosanguineous peritoneal fluid [7, 9, 13].…”

Section: Discussionmentioning

confidence: 99%

Conservative Management of Segmental Infarction of the Greater Omentum: A Case Report and Review of Literature

Soobrah

Badran

Smith

2010

Case Reports in Medicine

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Segmental omental infarction (SOI) is a rare cause of acute abdominal pain. Depending on the site of infarction, it mimics conditions like appendicitis, cholecystitis, and diverticulitis. Before the widespread use of Computed Tomography (CT), the diagnosis was usually made intraoperatively. SOI produces characteristic radiological appearances on CT scan; hence, correct diagnosis using this form of imaging may prevent unnecessary surgery. We present the case of a young woman who was treated conservatively after accurate radiological diagnosis.

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“…Even though the etiology is unknown, we highlight some of the possible theories. Analysis of some collective reviews [ 3 ] and our experience with this patient indicate that the symptoms, clinical findings, preoperative diagnosis and management of this condition are almost identical, even in children.…”

Section: Reviewmentioning

confidence: 97%

Simultaneous idiopathic segmental infarction of the great omentum and acute appendicitis: a rare association

et al. 2008

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Idiopathic segmental infarction of the greater omentum is an uncommon cause of acute abdomen. The etiology is still unclear and the symptoms mimic acute appendicitis. Its presentation simultaneously with acute appendicitis is still more infrequent. We present a case of a 47-year old woman without significant previous medical history, admitted with an acute abdomen, in which the clinical diagnosis was acute appendicitis and in whom an infarcted segment of right side of the greater omentum was also found at laparotomy. As the etiology is unknown, we highlighted some of the possible theories, and emphasize the importance of omental infarction even in the presence of acute appendicitis as a coincident intraperitoneal pathological condition.

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Idiopathic Segmental Infarction of Right Sided Greater Omentum. Case report and review of the literature

Cited by 8 publications

References 3 publications

Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report

Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report

Conservative Management of Segmental Infarction of the Greater Omentum: A Case Report and Review of Literature

Simultaneous idiopathic segmental infarction of the great omentum and acute appendicitis: a rare association

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