Omental Infarction: A Case Treated with Laparoscopic Surgery

Abstract

Omental infarct is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum. Here, we present a case of omental infarct in a 67-year-old gentleman with background history of diabetes mellitus who present unusually with a severe acute onset right hypochondrium pain. Examination revealed that he was tender to touch at the right and was having localized guarding. His inflammatory markers were normal. He was successfully treated with laparoscopy surgery and he was subsequently discharged the following day. Omental infarct cases with right hypochondrium pain can sometimes mimicked acute cholecystitis and management includes laparoscopic surgery which can hasten symptoms resolution and reduces hospital stay, however recommendation for surgery has to be balanced with anesthetics risk and complication of the surgery itself.

Torsion of the omentum: A rare cause of acute abdomen.

“…Omental torsion is a rare cause of acute abdomen 1 , diagnosis of omental torsion is usually difficult because clinical signs and symptoms can mimic acute appendicitis, acute cholecystitis or even acute diverticulitis. 2 Its existence is being considered by many surgeons with increasing trend due to increases frequency of detection using sophisticated investigation and diagnostic laparoscopy. 3 CT scan abdomen is the investigation of choice but diagnostic laparoscopy is a gold standard.…”