Primary Omental Infarction Presenting As a Parietal Wall Swelling: A Rare Case Report

Agarwal, Sudhir; Shaikh, Aftab Ahmed; Tayade, M B

doi:10.18535/jmscr/v3i8.58

Cited by 2 publications

(1 citation statement)

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“…The adjunct of antibiotics is debatable with the rise of microbial resistance; however, necrotic tissue may develop into local abscesses whereby justification of broad‐spectrum gram‐positive and gram‐negative antibiotics may be appropriate in the context of pyrexia and/or sepsis. Indeed, there have been reported cases of failed conservative management requiring percutaneous drainage for abscess formation [20, 21]. Only one of our patients who was initially managed conservatively subsequently developed recurrent omental infarction 3 months later.…”

Section: Discussionmentioning

confidence: 80%

Diagnosis and Management of Adult Omental Infarction: 10‐Year Case Series

2021

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Background Omental infarction is a rare cause of an acute abdomen with nonspecific signs that can be easily mistaken with other more common intra-abdominal pathologies. The increased use of radiological imaging has brought this diagnosis to attention with respect to management plan. We present the experience of an Australian hospital network with the diagnosis and management of omental infarction to raise awareness of this uncommon pathology. Methods A retrospective review of medical records of adult patients diagnosed with omental infarction from 2010 to 2020 was conducted across four major hospitals in South Western Sydney. Data relating to clinical presentation, investigations, management and outcomes were obtained. Results Omental infarction was diagnosed in 61 patients (mean 51.1 years, range: 19-76 years old). All patients presented with nonspecific abdominal pain with the most common sites being the right iliac fossa followed by the right upper quadrant, respectively, over an average period of 2.7 days. Computed tomography and/or diagnostic laparoscopy identified omental infarction in all cases. Forty-two patients (68.9%) had successful conservative management, six failed conservative management and 19 patients had emergency laparoscopic omentectomy. The average hospital length of stay was 3.4 days with no significant morbidity or mortality. Conclusion Omental infarction generally presents with nonspecific clinical signs often masquerading as other more common abdominal diagnosis like cholecystitis or appendicitis. A trial of conservative management initially coupled with appropriate imaging should be recommended within the first 24-48 h before considering surgical treatment in refractory cases.

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Section: Discussionmentioning

confidence: 80%

Diagnosis and Management of Adult Omental Infarction: 10‐Year Case Series

2021

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Laparoscopic Management of Primary Omental Torsion

Miheţiu

Sandu

Bratu

et al. 2021

Case Reports in Surgery

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Primary omental torsion is an unusual condition, known for its rarity and for the particularity of being intraoperatively diagnosed, in nearly all cases. At the clinical evaluation, this pathology commonly mimics other etiologies of acute abdomen. Hemoperitoneum and necrosis of the omentum are rarely associated with the omental torsion, but when the association is found, then it means that the vascular injuries are irreversible and the required surgical procedure may be far more complex than simple devolvulus. In search of the treatment of choice, laparoscopy proved its effectiveness as a diagnostic and therapeutic tool, while the open surgery approach can be described in many cases as being too invasive. A 37-year-old female patient presented with the generic symptoms of acute appendicitis. Surgical treatment was initiated. During laparoscopy, the abdomen was attentively explored, highlighting the presence of a twisted omentum with hemoperitoneum and necrosis. Omental excision and peritoneal drainage were performed. The evolution was favorable. Another check-up was done at 6 months postoperatively, displaying no signs or symptoms of relapse.

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Primary Omental Infarction Presenting As a Parietal Wall Swelling: A Rare Case Report

Cited by 2 publications

References 4 publications

Diagnosis and Management of Adult Omental Infarction: 10‐Year Case Series

Diagnosis and Management of Adult Omental Infarction: 10‐Year Case Series

Laparoscopic Management of Primary Omental Torsion

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