Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report
Idiopathic omental infarction is a rare cause of acute abdomen in adults, and the clinical finding can mimic acute appendicitis. Although idiopathic omental infarction is uncommon, the incidence of its detection has become more frequent as a result of advances in radiological technologies. We repor...
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| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2013/193546 |
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| author | Ahmed AbdulAziz Tamer El Zalabany Abdul Rahim Al Sayed Ahmed Al Ansari |
| author_facet | Ahmed AbdulAziz Tamer El Zalabany Abdul Rahim Al Sayed Ahmed Al Ansari |
| author_sort | Ahmed AbdulAziz |
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| description | Idiopathic omental infarction is a rare cause of acute abdomen in adults, and the clinical finding can mimic acute appendicitis. Although idiopathic omental infarction is uncommon, the incidence of its detection has become more frequent as a result of advances in radiological technologies. We reported on a 21-year-old man who presented with sudden onset of intermittent right lower quadrant abdominal pain for seven days. The pain became more localized at the right iliac fossa (RIF) at day 2 before admission. A physical examination revealed a fever (38.2∘C), severe RIF tenderness, mass-like fullness, and positive rebound tenderness. A CT of the abdomen showed inflammatory changes and increased fat density mass in the right upper quadrant measuring 5×4 cm representing focal panniculitis. However, the appendix was visualized normally and the findings were not in favor of acute appendicitis. Diagnosis was carried on laparoscopically. Serosanguinous free fluid was found in all abdominal quadrants. A 6×4 cm gangrenous omental mass was noted. The omental mass was excised and an appendectomy was performed. In summary, omental infarction should be considered as a deferential diagnosis for acute right-sided abdominal pain, especially if the clinical finding does not correspond to appendicitis. |
| format | Article |
| id | doaj-art-9cfabfad22f745e6bf37b2e20adb6eb5 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
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| series | Case Reports in Surgery |
| spelling | doaj-art-9cfabfad22f745e6bf37b2e20adb6eb52025-02-03T01:03:48ZengWileyCase Reports in Surgery2090-69002090-69192013-01-01201310.1155/2013/193546193546Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case ReportAhmed AbdulAziz0Tamer El Zalabany1Abdul Rahim Al Sayed2Ahmed Al Ansari3Department of General Surgery, Bahrain Defense Force Hospital, Off Waly Alahed Avenue, P.O. Box 28743, West Riffa, BahrainDepartment of General Surgery, Bahrain Defense Force Hospital, Off Waly Alahed Avenue, P.O. Box 28743, West Riffa, BahrainDepartment of General Surgery, Bahrain Defense Force Hospital, Off Waly Alahed Avenue, P.O. Box 28743, West Riffa, BahrainDepartment of General Surgery, Bahrain Defense Force Hospital, Off Waly Alahed Avenue, P.O. Box 28743, West Riffa, BahrainIdiopathic omental infarction is a rare cause of acute abdomen in adults, and the clinical finding can mimic acute appendicitis. Although idiopathic omental infarction is uncommon, the incidence of its detection has become more frequent as a result of advances in radiological technologies. We reported on a 21-year-old man who presented with sudden onset of intermittent right lower quadrant abdominal pain for seven days. The pain became more localized at the right iliac fossa (RIF) at day 2 before admission. A physical examination revealed a fever (38.2∘C), severe RIF tenderness, mass-like fullness, and positive rebound tenderness. A CT of the abdomen showed inflammatory changes and increased fat density mass in the right upper quadrant measuring 5×4 cm representing focal panniculitis. However, the appendix was visualized normally and the findings were not in favor of acute appendicitis. Diagnosis was carried on laparoscopically. Serosanguinous free fluid was found in all abdominal quadrants. A 6×4 cm gangrenous omental mass was noted. The omental mass was excised and an appendectomy was performed. In summary, omental infarction should be considered as a deferential diagnosis for acute right-sided abdominal pain, especially if the clinical finding does not correspond to appendicitis.http://dx.doi.org/10.1155/2013/193546 |
| spellingShingle | Ahmed AbdulAziz Tamer El Zalabany Abdul Rahim Al Sayed Ahmed Al Ansari Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report Case Reports in Surgery |
| title | Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report |
| title_full | Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report |
| title_fullStr | Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report |
| title_full_unstemmed | Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report |
| title_short | Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report |
| title_sort | idiopathic omental infarction diagnosed and managed laparoscopically a case report |
| url | http://dx.doi.org/10.1155/2013/193546 |
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