Segmental omental infarction

Abstract

Acute right-sided abdominal pain is a common presenting symptom in the emergency department. Acute cholecystitis and acute appendicitis are the most likely etiologies for right upper and lower quadrant pain, respectively. However, other differential possibilities include right-sided diverticulitis and perforated colon carcinoma. This case report of an 18-year-old man with segmental omental infarction highlights a much less frequent, self-limited cause of right-sided abdominal pain, which is increasingly identified on computed tomography scans.

Nadir Görülen Bir Akut Karın Olgusu: İdiopatik Omental İnfarkt

“…Erkekleri kadınlara göre daha çok etkilemektedir. Obezite, geçirilmiş travma ve cerrahi öyküsü, beslenme sonrası vaskuler konjesyon, karın içi basınçta ani artış, herniler, tümör, kist ya da lokalize inflamatuar hadiseler, hiperkoagülabilite gibi altta yatan çok sayıda sebebe bağlı olabileceği gibi daha nadiren idiopatik omental infarkt olarak da ortaya çıkabilmektedir (7,8). Sunduğumuz hastanın da omental enfarkta sebep olabilecek herhangi bir ek hastalığı ya da geçirilmiş cerrahi hikayesi yoktu.…”

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

“…Ultrasound scan (USS) or computed tomography can be used to make a reliable diagnosis. Typical CT findings of omental infarction include a well-circumscribed ovoid area of heterogenous fat stranding with hyperattenuating streaks located within the omentum between the rectus abdominis and colon [8, 11]. Typical features found on ultrasound scan include a moderately hyperechoic noncompressible lesion at the site of maximal tenderness [5].…”

“…In the past, diagnosis of SOI was rarely made preoperatively. The routine use of CT and USS in the assessment of acute abdominal pain coupled with improved awareness of this condition may account for the increasing number of cases being identified [11, 14]. …”

“…Some authors recommend surgical intervention because it leads to a shorter hospitalisation period and a more rapid improvement of the patients' pain [15–19]. Also, there is less risk of rare complications including abscess formation, adhesions, and sepsis [11, 20, 21]. …”

Isolated omental panniculitis: two case reports and review of literature

“…The patient is generally well and fever is not seen. In the physical examination local sensitivity and rebound is determined at various degrees (14,15,16). Although patients with IOP are generally non-specific in clinics they applied with complaints of localized abdominal pain, nausea and vomiting.…”