Omental Infarction Mimicking Cholecystitis
Omental infarction can be difficult to diagnose preoperatively as imaging may be inconclusive and patients often present in a way that suggests a more common surgical pathology such as appendicitis. Here, a 40-year-old Caucasian man presented to casualty with shortness of breath and progressive righ...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/687584 |
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| author | David Smolilo Benjamin C. Lewis Marina Yeow David I. Watson |
| author_facet | David Smolilo Benjamin C. Lewis Marina Yeow David I. Watson |
| author_sort | David Smolilo |
| collection | DOAJ |
| description | Omental infarction can be difficult to diagnose preoperatively as imaging may be inconclusive and patients often present in a way that suggests a more common surgical pathology such as appendicitis. Here, a 40-year-old Caucasian man presented to casualty with shortness of breath and progressive right upper abdominal pain, accompanied with right shoulder and neck pain. Exploratory laparoscopy was eventually utilised to diagnose an atypical form of omental infarction that mimics cholecystitis. The vascular supply along the long axis of the segment was occluded initiating necrosis. In this case, the necrotic segment was adherent with the abdominal wall, a pathology not commonly reported in cases of omental infarction. |
| format | Article |
| id | doaj-art-05d320842dea47a38d4dc4a6a3d25620 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-05d320842dea47a38d4dc4a6a3d256202025-02-03T06:07:04ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/687584687584Omental Infarction Mimicking CholecystitisDavid Smolilo0Benjamin C. Lewis1Marina Yeow2David I. Watson3Department of Surgery, Flinders Medical Centre, Bedford Park, SA 5042, AustraliaDepartment of Clinical Pharmacology, Flinders University School of Medicine, Bedford Park, SA 5042, AustraliaDepartment of Surgery, Flinders Medical Centre, Bedford Park, SA 5042, AustraliaDepartment of Surgery, Flinders Medical Centre, Bedford Park, SA 5042, AustraliaOmental infarction can be difficult to diagnose preoperatively as imaging may be inconclusive and patients often present in a way that suggests a more common surgical pathology such as appendicitis. Here, a 40-year-old Caucasian man presented to casualty with shortness of breath and progressive right upper abdominal pain, accompanied with right shoulder and neck pain. Exploratory laparoscopy was eventually utilised to diagnose an atypical form of omental infarction that mimics cholecystitis. The vascular supply along the long axis of the segment was occluded initiating necrosis. In this case, the necrotic segment was adherent with the abdominal wall, a pathology not commonly reported in cases of omental infarction.http://dx.doi.org/10.1155/2015/687584 |
| spellingShingle | David Smolilo Benjamin C. Lewis Marina Yeow David I. Watson Omental Infarction Mimicking Cholecystitis Case Reports in Surgery |
| title | Omental Infarction Mimicking Cholecystitis |
| title_full | Omental Infarction Mimicking Cholecystitis |
| title_fullStr | Omental Infarction Mimicking Cholecystitis |
| title_full_unstemmed | Omental Infarction Mimicking Cholecystitis |
| title_short | Omental Infarction Mimicking Cholecystitis |
| title_sort | omental infarction mimicking cholecystitis |
| url | http://dx.doi.org/10.1155/2015/687584 |
| work_keys_str_mv | AT davidsmolilo omentalinfarctionmimickingcholecystitis AT benjaminclewis omentalinfarctionmimickingcholecystitis AT marinayeow omentalinfarctionmimickingcholecystitis AT davidiwatson omentalinfarctionmimickingcholecystitis |