Publication: Spontaneous Omental Infarction: An Unusual Etiology of Abdominal Pain
Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
A 49-year-old lady with previous scars complained of acute abdominal pain for
two days. Her right hypochondrium was tender and guarding upon assessment.
The laboratory investigations were unremarkable. Due to a diagnostic incongruity,
computed tomography of the abdomen was performed showing a suspicious lesion
at anterolateral aspect of the ascending colon. Surgical intervention was decided
and intraoperative finding was consistent with spontaneous omental infarction.
Omentectomy was undertaken and final histology was compatible with the
intraoperative diagnosis. Although it is exceptional, omental infarction should be
considered as part of the differential diagnoses of right-sided acute abdominal pain
with normal laboratory investigations. This case highlights its unexpected discovery
and we describe its literature reviews.
KEY WORDS
Acute abdomen, Appendicitis, Cholecystitis, Infarction, Omentum
Description
Khairuddin A,1 Teng WW,1 Azizan N,2 Hayati F,3 Sahid NA,3 Kadir F4
1Department of Surgery,
Queen Elizabeth Hospital,
Ministry of Health Malaysia, Kota Kinabalu, Sabah, Malaysia.
2Department of Pathobiology and Medical Diagnostic,
Faculty of Medicine and Health Sciences,
University Malaysia Sabah, Kota Kinabalu, Sabah, Malaysia.
3Department of Surgery,
4Department of Medicine,
Faculty of Medicine and Health Sciences,
University Malaysia Sabah, Kota Kinabalu,
Sabah, Malaysia
Keywords
Acute abdomen, Appendicitis, Cholecystitis, Infarction, Omentum