Primary idiopathic segmental infarction of the greater omentum
作者
Barry Chih-Hung Hsu, Der-Aur Chou
卷期/出版年月
44卷6期 (2011/12)
頁次
233-236
摘要
Primary idiopathic omental infarction is a rare cause of acute abdominal pain that
must be considered in a differential diagnosis of the acute abdomen. The majority of patients
are young adults, and the problem occurs mostly in the right portion of the omentum with
symptoms that can mimic acute appendicitis or cholecystitis. An abdominal computed tomography
scan can help achieve an accurate diagnosis. The management of omental infarction
could be conservative. However, minimally invasive laparoscopic omentectomy is another
option of management and may shorten the course of hospitalization and avoid complications
due to inflammation. Here we report a case of a man aged 24 years who presented with right
upper quadrant pain for 2 days. He was later diagnosed to have partial greater omental infarction.
He recovered rapidly after laparoscopic partial omentectomy. The aim of this report is to
emphasize the importance of a differential diagnosis of the acute abdomen and to discuss the
management of omental infarction.