Spontaneous omental infarction as a rare differential for right iliac fossa pain: A case report and review of the literature
Author(s)
Lee, SJ; Le, KDR; Mark, P;
Details
Publication Year 2024-07,Volume 12,Issue #7,Page e9151
Journal Title
Clinical Case Reports
Publication Type
Case report
Abstract
Omental infarction is a rare cause of acute abdominal pain, often benign and self-limiting. The significance of infarction lies in the fact that it can mimic other abdominal pathologies including appendicitis, cholecystitis, pancreatitis, or reflux disease. Diagnostic laparoscopy provides the definitive diagnosis of omental infarction, but it is invasive and limited due to resources. Computed tomography of the abdomen and pelvis has been considered the gold standard to diagnosing omental infarction when a non-invasive diagnostic approach is required. Additionally, ultrasound can also be used alternatively for children. Currently, there is no consensus in the diagnosis and management of patients with imaging-proven omental infarction. Spontaneous infarcted omentum must be considered by surgeons and radiologists as a rare cause of acute abdominal pain as patients can experience good outcomes with either conservative or operative approach. However, conservative management must only be considered in stable patients where alternative pathology is unlikely.
Publisher
Wiley
Keywords
abdominal pain; computer tomography; infarcted omentum; spontaneous infarcted omentum
Department(s)
Surgical Oncology
Open Access at Publisher's Site
https://doi.org/10.1002/ccr3.9151
Terms of Use/Rights Notice
Refer to copyright notice on published article.


Creation Date: 2024-08-06 05:29:19
Last Modified: 2024-08-06 05:31:19

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