Omental infarction

Case contributed by Jeremy Jones , 21 Apr 2011
Diagnosis almost certain
Changed by Daniel J Bell, 21 Jul 2021

Updates to Study Attributes

Findings was changed:

Laparoscopic antrectomy with Roux-en-Y formation for drug-resistant GORD.

Left-sided effusion and collapse. Subcapsular splenic haematoma. Low volume free fluid. 

Left-sided omental oedema - non-specific.

Updates to Case Attributes

Body was changed:

This patient underwent a laproscopic laparoscopic antrectomy with Roux-en-Y formation for drug-resistant GORD.

He complained of generalised abdominal pain in the days and weeks following surgery.

Deep to the left abdominal port site at the level of the umbilicus is an abnormal area of omentum.  WithWith time, there is maturation of this area of abnormality with a heterogeneous appearance heterogeneous appearance.

Features of those of developing omental infarction, which is usually treated conservatively.  TheThe differential diagnosis in this case would be developing infection.

The surgical team decided to adopt a position of watchful waiting and his inflammatory markers decreased and symptoms resolved.

  • -<p>This patient underwent a laproscopic <a href="/articles/antrectomy" title="antrectomy ">antrectomy </a>with <a href="/articles/roux-en-y" title="Roux-en-Y ">Roux-en-Y</a> formation for drug-resistant <a href="/articles/gastro-oesophageal-reflux-disease" title="GORD">GORD</a>.</p><p>He complained of generalised abdominal pain in the days and weeks following surgery.</p><p>Deep to the left abdominal port site at the level of the umbilicus is an abnormal area of <a href="/articles/omentum" title="Omentum">omentum</a>. &#160;With time, there is maturation of this area of abnormality with a&#160;heterogeneous&#160;appearance.&#160;</p><p>Features of those of developing <a href="/articles/omental-infarction" title="omental infarction">omental infarction</a>, which is usually treated conservatively. &#160;The differential diagnosis in this case would be developing infection.</p><p>The surgical team decided to adopt a position of watchful waiting and his inflammatory markers decreased and symptoms resolved.</p>
  • +<p>This patient underwent a laparoscopic antrectomy with <a title="Roux-en-Y gastric bypass surgery" href="/articles/roux-en-y-gastric-bypass-surgery">Roux-en-Y</a> formation for drug-resistant <a href="/articles/gastro-oesophageal-reflux-disease">GORD</a>.</p><p>He complained of generalised abdominal pain in the days and weeks following surgery.</p><p>Deep to the left abdominal port site at the level of the umbilicus is an abnormal area of <a href="/articles/omentum">omentum</a>. With time, there is maturation of this area of abnormality with a heterogeneous appearance. </p><p>Features of those of developing <a href="/articles/omental-infarction">omental infarction</a>, which is usually treated conservatively. The differential diagnosis in this case would be developing infection.</p><p>The surgical team decided to adopt a position of watchful waiting and his inflammatory markers decreased and symptoms resolved.</p>

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