Omental infarction: An uncommon aetiology for acute abdomen

Suresh, Chinganthara Cleetus; Manappallil, Robin George; Chand, Adarsh; Jayaraj, Jishnu

doi:10.3126/ajms.v8i1.15979

Cited by 2 publications

(9 citation statements)

References 4 publications

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“…Omental infarction is not a common disease condition and since it was first described in 1896, only about 400 cases have been described till date [ 2 , 10 ]. OI accounts for 7% of all cases of acute abdomen visiting the accident and emergency [ 2 ] and about 0.1% of laparotomies done for emergent abdominal conditions [ 1 ]. The accuracy of pre-operative diagnosis of OI is about 0.6–4.8% [ 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…OI can either be primary (idiopathic) or secondary. The unnecessary length of omentum, its tenuous vasculature, increased abdominal pressure and increased peristalsis from over eating are some of the patho-physiological mechanisms involved in idiopathic omental infarction (IOI) [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Precipitating factors in IOI include obesity, 40–50 age group, male gender, exertion, local trauma, occupational vibration, excessive straining and coughing and sudden change in posture [ 1 , 2 ]. Omental pathologies like cysts, tumour invasion, omental malformations like bifid omentum, vascular variant, kinking of the omentum secondary to congenital attachment abnormalities, local variation in fat deposition, and redundant omental vein also play a role in this condition [ 2 , 3 , 6 , 8 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

“…Omental Infarction (OI) is uncommon and mimics common causes of acute abdomen such as acute appendicitis, cholecystitis, diverticulitis, perforated duodenal ulcer, mesenteric thrombosis and twisted ovarian cyst. [ 1 – 5 ]…”

Section: Introductionmentioning

confidence: 99%

“…OI could either be primary (idiopathic) or secondary and can be managed either by conservative or operative methods, which can either be by open or laparoscopic surgery. [ 1 – 5 ]…”

Section: Introductionmentioning

confidence: 99%

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Post-myomectomy omental infarction: a case report

Eboreime,

Yorwin,

Ohenhen

2023

J Med Case Reports

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Background Omental Infarction (OI) is uncommon and mimics common causes of acute abdomen. It is important to differentiate it from other abdominal conditions that require emergency management. It was first reported in literature in 1896 and about 400 cases have been reported till date. Case presentation We reported on a 41 year-old Para 0+0 Ibo house wife who presented with 10 years history of supra-pubic mass and five months history of excessive menstrual flow. After physical examination, a diagnosis of symptomatic uterine fibroid was made. She had myomectomy and the raw surface created after the excision of the myomas was covered with omentum. Wound infection developed on the 8th post-operative day leading to a wound breakdown and later partial extrusion of infarcted omental tissue through the dehisced wound. During re-exploration, the infarcted omental tissue was extracted and the residual abdominal abscess was drained. Surgical site wound infection occurred on the 3rd day after re-operation and a sub-acute intestinal obstruction developed on the 4th day thereafter which responded to conservative management. Conclusion Careful surgical technique is imperative when utilizing the omentum for reconstructive abdominal surgery. Torsion of the omentum and creation of excess tension while using the omentum for reconstructive procedures should be avoided and increase awareness of this uncommon disease condition by the surgeon is also important. This case is to report a rare finding of omental infarction following myomectomy.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…OI could either be primary (idiopathic) or secondary and can be managed either by conservative or operative methods, which can either be by open or laparoscopic surgery. [ 1 – 5 ]…”

Section: Introductionmentioning

confidence: 99%

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Post-myomectomy omental infarction: a case report

Eboreime,

Yorwin,

Ohenhen

2023

J Med Case Reports

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A rare occurrence: A case report of acute appendicitis and omental infarction unveiled by epigastric pain in a heavy smoker

Med Dheker,

Mohamed Raouf,

Fahd

et al. 2023

J Surg Surgical Res

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Omental Infarction (OI) is a rare condition that can mimic common causes of acute abdominal pain, primarily affecting individuals aged 40 to 50, with a male predominance. Imaging techniques like ultrasound and computed tomography aid in diagnosis. Treatment options range from conservative management to surgery, depending on severity and complications. OI often leads to right-sided abdominal pain in 90% of cases, with histological features including focal necrosis and fibroblastic reactions. Acute appendicitis is a common cause of acute abdominal conditions, especially in children and adolescents. Having a patient simultaneously presenting with acute appendicitis and omental infarction is extremely rare, with only three cases reported in the literature to date to our knowledge. We present the case of a 32-year-old male, a heavy smoker, who presented with epigastric pain and vomiting. Initial clinical suspicion was a perforated ulcer, but imaging revealed swollen appendicitis with adjacent fat stranding and evidence of epiploic infarction near the stomach. Laparoscopic surgery confirmed the diagnosis of acute appendicitis, with an appendectomy performed and identification of the infarcted omentum, which was preserved. After the operation, the patient had a successful recovery and was discharged on the second postoperative day. This case firstly emphasizes the rarity of the association between acute appendicitis and omental infarction in the same patient and underscores the importance of considering Omental Infarction (OI) in the differential diagnosis of acute abdominal pain. Imaging plays a crucial role in accurate diagnosis, and a high degree of suspicion and prompt diagnosis are crucial for optimal patient outcomes.

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Omental infarction: An uncommon aetiology for acute abdomen

Abstract: Asian Journal of Medical Sciences Vol.8(1) 2017 104-104

Cited by 2 publications

References 4 publications

Post-myomectomy omental infarction: a case report

Post-myomectomy omental infarction: a case report

A rare occurrence: A case report of acute appendicitis and omental infarction unveiled by epigastric pain in a heavy smoker

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