Omental infarct

Case contributed by Dr David Little

Presentation

Severe right sided abdominal pain. Suspected renal colic

Patient Data

Age: 20
Gender: Male
CT

There is subtle fat stranding in the right upper quadrant with mild peritoneal thickening. Allowing for the lack of IV contrast the gallbladder and adjacent bowel are normal. Appendix is normal. No urinary tract calculi. 

Appearances in keeping with omental infarction. 

This was confirmed at laparoscopy (the surgical team were concerned about appendicitis despite the CT appearances). 

Case Discussion

Omental infarction is usually a benign self-limiting condition that can be managed conservatively. 

It presents with acute, often severe, abdominal pain, generally in young and fit patients. 

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