Omental infarction

Case contributed by Dr Domenico Nicoletti

Presentation

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

Patient Data

Age: 60 years
Gender: Female
CT

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.

PlayAdd to Share

Case information

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

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.