56 year old male with generalised abdominal pain following surgery over a period of weeks.
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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. With time, there is maturation of this area of abnormality with a heterogeneous appearance.
Features of those of developing omental infarction, which is usually treated conservatively. The 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.