Idiopathic omental infarction: managed conservatively

McMillen, Brock; Hekman, Daniel; Nguyen, Michelle; Grewal, Dennis

doi:10.1136/bcr-2018-226978

Cited by 7 publications

(27 citation statements)

References 11 publications

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“…To date, 400 cases have been documented in the literature. 5,6 Due to this low incidence, and its variable and non-specific presentation, OI often may be initially misdiagnosed. The most likely differential diagnoses include acute appendicitis, acute cholecystitis, and ovarian cyst torsion.…”

Section: Dear Editormentioning

confidence: 99%

“…7 This condition is seen most often in children and men aged 40-50 years. 6 It can be an isolated event or secondary to omental torsion. 1 As an isolated event it can be idiopathic or related to a secondary cause, namely hypercoagulability, vasculitis, and polycythemia.…”

Section: Dear Editormentioning

confidence: 99%

“…Today there are two main strategies to the management of OI: conservative treatment or surgical excision. 6 However, currently no consensus has been reached regarding the best therapy, since no comparative study has demonstrated significant differences in the outcome following either strategy. 1,6 Conservative management of OI includes oral analgesics, an anti-inflammatory, and an antibiotic.…”

Section: Dear Editormentioning

confidence: 99%

“…6 However, currently no consensus has been reached regarding the best therapy, since no comparative study has demonstrated significant differences in the outcome following either strategy. 1,6 Conservative management of OI includes oral analgesics, an anti-inflammatory, and an antibiotic. 6 An early surgical intervention is related to the reduced incidence of omental necrosis, abscess, and adhesion formation.…”

Section: Dear Editormentioning

confidence: 99%

“…1,6 Conservative management of OI includes oral analgesics, an anti-inflammatory, and an antibiotic. 6 An early surgical intervention is related to the reduced incidence of omental necrosis, abscess, and adhesion formation. 6 Laparoscopic surgery with omental necrosectomy also seems to decrease the length of hospital stay.…”

Section: Dear Editormentioning

confidence: 99%

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Idiopathic left omental infarction

et al. 2019

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Section: Dear Editormentioning

confidence: 99%

Section: Dear Editormentioning

confidence: 99%

Section: Dear Editormentioning

confidence: 99%

Section: Dear Editormentioning

confidence: 99%

Section: Dear Editormentioning

confidence: 99%

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Idiopathic left omental infarction

et al. 2019

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Laparoscopic Surgery for Diagnosis and Treatment of Acute Right Upper-Quadrant Abdominal Pain Due to Omental Infarction: A Report of a Rare Case in a Single Vietnamese Hospital

et al. 2021

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Case series Patients: Female, 56-year-old • Female, 58-year-old Final Diagnosis: Omental infarction • omental torsion Symptoms: Abdominal and/or epigastric pain • nausea • right upper quadrant pain • vomiting Medication: — Clinical Procedure: Laparoscopic ometectomy • omentectomy Specialty: Surgery Objective: Rare disease Background: Omental infarction (OI) is an infrequent cause of acute abdominal pain, and there is no consensus on whether conservative or surgical treatment should be performed. The clinical manifestations are nonspecific, so many patients are referred for surgery because of acute abdominal signs that may indicate other diseases such as cholecystitis, appendicitis, or peptic ulcer perforation. In most cases, infarction of the greater omentum is diagnosed only during emergency surgery for other diseases of the abdomen. Currently, multisequence computed tomography is performed for acute abdomen, and this disease is increasingly diagnosed preoperatively. Case Reports: We report on 2 patients who were referred to our Emergency Department for acute abdominal pain. Both were female and middle-aged. The first patient presented with vomiting and right upper-quadrant pain with thickened and right subcostal omental infiltration on computed tomography (CT). The second patient presented with right subcostal pain and fever. CT showed signs of infiltration, thickening of the omentum, and a right upper subcostal mass measuring 22×60 mm. We performed emergency laparoscopic surgery to explore the abdominal cavity. Both patients were discharged after 3 days. Conclusions: Omentum infarction is a rare disease that causes a diagnostic dilemma, as there is a wide spectrum of causes of acute abdomen. Many patients are diagnosed only during surgery. Laparoscopic surgery should be performed as soon as possible.

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Rare causes of acute abdomen and review of literature: Primary/secondary omental torsion, isolated segmental omental necrosis and epiploic appendagitis

Öztaş¹

2023

Ulus Travma Acil Cerrahi Derg

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Idiopathic omental infarction: managed conservatively

Cited by 7 publications

References 11 publications

Idiopathic left omental infarction

Idiopathic left omental infarction

Laparoscopic Surgery for Diagnosis and Treatment of Acute Right Upper-Quadrant Abdominal Pain Due to Omental Infarction: A Report of a Rare Case in a Single Vietnamese Hospital

Rare causes of acute abdomen and review of literature: Primary/secondary omental torsion, isolated segmental omental necrosis and epiploic appendagitis

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