Omental infarction

Case contributed by Dr Domenico Nicoletti


Pains around the navel, with canalized bowel, no fever. Recent laparoscopic salpingectomy.

Patient Data

Age: 60 years
Gender: Female

Fat stranding of the greater omentum with a central focal region of hypoattenuation compatible with omental infarction. 

Case Discussion

Segmental omental infarction is a benign cause of an acute abdomen, and hence it is seldom considered in the differential diagnosis of acute abdominal pain.

It mimics symptoms that often lead to the misdiagnosis of appendicitis, cholecystitis, or diverticulitis.

Various predisposing factors have been implicated including obesity, trauma, recent abdominal surgery, postprandial vascular congestion, sudden increase in intraabdominal pressure, and hypercoagulability.

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Case information

rID: 56618
Published: 13th Nov 2017
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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