Treatment of idiopathic segmental infarction of the greater omentum by laparoscopic omentectomy
Abstract
Introduction: idiopathic segmental infarction of the greater omentum constitutes an exceptional cause of an acute condition in adults.
Clinical case: study presents the clinical case of a young adult who underwent an emergency laparoscopic appendectomy for the treamtent of acute apenditicis. The exploration revealed a segmental infarction of the greater omentum that was resolved by partial omentectomy. Evolution was good and the patient was allowed an early discharge.
Discussion: despite the fact an image diagnosis of infarction of the greater omentum is possible, its low incidence and the characteristics of its clinical presentation result in it usually being diagnosed during surgery. Treatment consists in laparoscopic omentenctomy of the affected area. Preoperative diagnosis may allow for watchful waiting, although persistence of symptoms requires readmission to hospital and extension of the definitive treatment.
References
(2) Tonerini M, Calcagni F, Lorenzi S, Scalise P, Grigolini A, Bemi P. Omental infarction and its mimics: imaging features of acute abdominal conditions presenting with fat stranding greater than the decrece of bowel wall thickening. Emerg Radiol 2015; 22(4):431-6.
(3) Hussain K, Munir A, Wahla MS, Masood J. Laparoscopic management of primary segmental omental infarction mimicking acute appendicitis. J Coll Physicians Surg Park 2015; 25(Suppl. 2):89-90.
(4) Varjavandi V, Lessin M, Kooros K, Fusunyan R, McCauley R, Gilchrist B. Omental infarction: risk factor in children. J Pediatr Surg 2003; 38(2):233-5.
(5) McCuster R, Gent R, Goh DW. Diagnosis and management of omental infarction in children: our 10 year experience with ultrasound. J Pediatr Surg 2018; 53(7):1360-4.
(6) Gupta R, Farhat W, Ammar H, Azzaza M, Lagha S, Ben M, et al. Idiopathic segmental infarction of the omentum mimicking acute appendicitis?: a case report. Int J Surg Case Rep 2019; 60:66-8.
(7) Escaìrcega-Fujigaki P, Hernaìndez Peredo-Rezk G, Hernaìndez-Goìmez S, Rodriìguez-Gutieìrrez C, Martín-Bendimez G, Velasco-Saìnchez R. Infarto segmentarlo idiopático del epiplón mayor, resuelto por cirugía endoscópica. Reporte de caso. Bol Med Hosp Infant Mex 2006; 63(5):322-5.
(8) Balthazar EJ, Lefkowitz RA. Left-sided omental infarction with associated omental abscess: CT diagnosis. J Comput Assist Tomogr 1993; 17(3):379-81.
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