Primary Segmental Infarction of the Greater Omentum: A Rare Cause of RLQ Syndrome: Laparoscopic Resection

Lardies, Jorge Merello; Abente, Federico Cuenca; Napolitano, Alejandro; Sarotto, Luis; Ferraina, Pedro

doi:10.1097/00129689-200102000-00017

Cited by 12 publications

(9 citation statements)

References 6 publications

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“…2). When the entire GO is involved, typical findings on the CT scan are the vascular pedicle associated with a large fatty abdominal mass located anteriorly (9) and a mass of fat density showing streaks in a whirling pattern surrounded by a small hyperdense strip (3,4,5). The vascular pedicle sign (9) is an enhancing dot surrounded by a small hypodense rim consisting of several twists of the vessels followed by the fatty abdominal mass.…”

Section: Discussionmentioning

confidence: 99%

Twisting and Infarction of the Entire Greater Omentum Managed by Laparoscopy: a Report of Two Cases

Coppin

Lipsky

2006

Acta Chirurgica Belgica

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Twisting with infarction of the greater omentum is a rare cause of acute abdominal pain. Depending on the location, clinical symptoms can mimic other acute abdominal pathologies. The etiology remains elusive. Because of its rarity, correct diagnosis is difficult to make, but it can be helped by computed tomographic scan. The laparoscopical approach allows exploration of the abdominal cavity and surgical intervention. The preferred treatment remains resection of the necrotic omentum. We describe two cases of twisting with infarction (one left and one right) of the entire greater omentum managed laparoscopically over a period of two weeks.

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Section: Discussionmentioning

confidence: 99%

Twisting and Infarction of the Entire Greater Omentum Managed by Laparoscopy: a Report of Two Cases

Coppin

Lipsky

2006

Acta Chirurgica Belgica

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“…In several studies published IOI was defined as having benign, selflimiting and inflammatory course consisting of gradual retraction, fibrosis and complete resolution in 2 weeks. When this course was considered a conservative treatment with analgesic and anti-inflammatory drugs under close follow-up is recommended (26,27,28) but surgical treatment is preferred for a better pain control, rapid recovery, to prevent complications like spontaneous bleeding, adhesion or abscess (18,29). Only in one patient with diagnosis of IOP, preoperative diagnosis was established and low dose of corticosteroid was started and omental mass was regressed.…”

Section: Classification Of Acute Omental Infarction According To Etiomentioning

confidence: 99%

“…Surgical procedure may be conventional or laparoscopic. But laparoscopic surgery is a safe and effective treatment method in omental resections (17,18,29).…”

Section: Classification Of Acute Omental Infarction According To Etiomentioning

confidence: 99%

Isolated omental panniculitis: two case reports and review of literature

et al. 2017

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Isolated omental panniculitis (IOP), a rare form of acute abdominal syndrome, is defined as intraabdominal panniculitis that involves only omentum without extraabdominal fat necrosis, inflammatory bowel disease and pancreatitis. In the search made using PubMed English database, only 4 cases are determined with IOP. IOP is conceptually confused with idiopathic omental infarction (IOI). However, omental infarctions that are rare causes of acute abdominal syndromes were published by Bush for the first time in 1986 and less than 400 cases were reported. In this article we aimed to publish 2 IOP patients who applied with acute abdominal manifestation and were treated with laparoscopic omental resection to discuss the other 4 IOP cases comparing with IOP together with literature.

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“…Most patients present with right-sided abdominal pain (90%), and males are more frequently affected (ratio 2 : 1) [3, 4]. It has been postulated that the right side of the omentum is more susceptible to infarction due to its greater length and mobility [5].…”

Section: Introductionmentioning

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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Primary Segmental Infarction of the Greater Omentum: A Rare Cause of RLQ Syndrome: Laparoscopic Resection

Cited by 12 publications

References 6 publications

Twisting and Infarction of the Entire Greater Omentum Managed by Laparoscopy: a Report of Two Cases

Twisting and Infarction of the Entire Greater Omentum Managed by Laparoscopy: a Report of Two Cases

Isolated omental panniculitis: two case reports and review of literature

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

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