Simultaneous idiopathic segmental infarction of the great ... CT findings of omental fat stranding and infiltration and/or soft tissue density foci are helpful in narrowing a vast differential for abdominal pain to include diseases which primarily affect the omentum. [bioone.org] Workup It is a self-limited disease without the need for surgical intervention unless the pain is severe or the diagnosis is questionable [ 1 ]. The only abnormality at US and CT was a cake-like, rather outlined area of fat stranding adjacent to the ventral abdominal wall in the RUQ, just above the level of the umbilicus. Torsion of the omentum is a condition in which the organ twists on its long axis to such an extent that its vascularity is compromised [1, 2].Among a variety of acute abdomens, acute torsion of omentum is the least suspected under the impression of, most commonly, common cases such as . Omental torsion presents with nonspecific symptoms and signs of an acute abdomen, so it can mimic other causes of acute abdominal pain such as appendicitis . Etiology uated for their initial CT imaging features. In summary, we are concerned that the article by Baldisserotto et al. Conclusion: Omental infarction is a relatively rare disease characterized by acute abdomen. In addition, because this disease runs a self-limited course, conservative care is recommended. omental infarction is a rare cause of acute abdomen, with an incidence equivalent to less than four cases per 1000 cases of appendicitis.3low incidence and non specific presentation contribute to oi being misconstrued for appendicitis, peptic ulcer disease, cholecystitis, pancreatitis, among other abdominal pathology.2-6sequelae - morbidity and … Omental torsion is a rare cause of acute abdomen and sometimes requires surgery. Palpation often reveals localised tenderness and sometimes a palpable lump [4, 5]. Omental mesothelioma is a rare occurrence, cancer that arises in the mesothelial cells of the omentum. Omental infarction, right hypochondrium pain, laparoscopic surgery Introduction. It typically simulates acute appendicitis, with clinical features that include abdominal pain of a few days' duration, most often localized in the right lower or upper quadrant. As in the present case, the C-reactive protein and white blood count may be elevated. Because of its low incidence and nonspecific presentation, it can be difficult to diagnose. Chauhan V , Stephenson J A and. Acute Epiploic Appendagitis and Its Mimics Idiopathic omental infarction (IOI) is mainly located in the right abdomen and seldom occurring in the left abdomen4. Because a misdiagnosis can result in an unnecessary laparotomy, a correct diagnosis is of great importance . Department of Radiology, Leicester Royal Infirmary, University Hospital of Leicester, Leicester, UK. Self-healing omental infarction diagnosed and followed-up ... Haematological and biochemical serology can show a non-specific inflammatory response but these investigations may equally fall within normal limits [6]. The orangutan was immobilized with ketamine. Signs and symptoms can mimic other acute intra-abdominal conditions. 1,2 Omental infarction (OI) is an uncommon cause of acute abdominal pain occurring in ~0.1% of children who undergo laparotomy for suspected . Intra-abdominal focal fat infarction of the omentum ... A rare case of acute primary omental infarction Sun XW ... based on cross-sectional imaging, most commonly com- Methods: Fifteen cases of omental infarction were eval- puted tomography (CT). (2009) "A diagnosis of omental infarction was made in 19 children (mean age, 9.3 +/- 3.5 years). Omental Torsion and Epiploic Appendagitis - Abdominal Pain Omental infarction - wikidoc Omental torsion usually occurs in adults. A 37‑year‑old Caucasian man reported with right upper quadrant pain suspicious for cholecystitis. PDF Self-healing omental infarction diagnosed and followed-up ... Eitel et al. However, the increasing use of CT scans in patient evaluation has unveiled this phenomenon. It is rare and often characterized by right lower quadrant abdominal pain [1]. Search for more papers by this author. Other risk factors for omental infarction are polycythemia, hypercoagulability, and vasculitides plus other conditions which predispose to torsion such as trauma, sudden body movements, coughing, heavy food intake, and hyperperistalsis 24). Diagnosis is mainly based on ultrasound and especially computed tomography scan analysis. 2010;28(1):115.e5-7. First described by Bush in 1896 [], the incidence of idiopathic segmental infarction of the greater omentum is estimated to be 0.1% of the total laparotomies performed for acute abdomen [].Even though more than 100 cases have been reported in the literature, its association with acute appendicitis . Nonsevere The condition has been called epiploic appendagitis (van Breda VriesmaN and Puylaert 2002). The most common symptoms of omental infarction are non-specific: acute abdominal pain in the right lower quadrant, anorexia, nausea, vomiting, diarrhoea and fever. We present the first case of postoperative omental infarction after laparoscopic proctocolectomy with end . Abstract: To describe a patient who presented to a family medicine clinic with symptoms typical for cholecystitis, but eventually was diagnosed with omental infarction. Infarction of the omentum is less common than infarction of either the small or the large bowel because abundant . Clinical diagnosis is usually difficult because signs and symptoms are similar to other common causes of abdominal pain. Omentum is a fat-laden peritoneal fold located just anterior to the transverse colon, where progressive perivascular fat deposition and extension occur throughout childhood, and it is anatomically divided into the greater and lesser omentum. The imaging Although there are reports of management of omen- features evaluated . Omental infarct is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum and may be caused by torsion of the omentum around its vascular pedicle or venous outflow obstruction or vasculitis or thrombosis of the omental . The Am J Emerg Med. 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