scholarly journals Omental Infarction Imitating Acute Appendicitis

Cureus ◽  
2020 ◽  
Author(s):  
Saurabh Gaba ◽  
Nayana Gaba ◽  
Monica Gupta
Keyword(s):  
Acute Appendicitis ◽  
Omental Infarction

scholarly journals Omental infarction in an obese 10-year-old boy

2011 ◽  
Vol 3 (3) ◽  
pp. 22 ◽  
Author(s):  
Katerina Kambouri ◽  
Stefanos Gardikis ◽  
Alexandra Giatromanolaki ◽  
Aggelos Tsalkidis ◽  
Efthimios Sivridis ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Preoperative Diagnosis ◽  
Acute Abdominal Pain ◽  
Accurate Diagnosis ◽  
Lower Abdomen ◽  
Omental Infarction ◽  
Appropriate Treatment ◽  
Low Incidence ◽  
The Right

Primary omental infarction (POI) has a low incidence worldwide, with most cases occurring in adults. This condition is rarely considered in the differential diagnosis of acute abdominal pain in childhood. Herein, we present a case of omental infarction in an obese 10-year-old boy who presented with acute abdominal pain in the right lower abdomen. The ultrasound (US) examination did not reveal the appendix but showed secondary signs suggesting acute appendicitis. The child was thus operated on under the preoperative diagnosis of acute appendicitis but the intraoperative finding was omental infarct. Since the omental infarct as etiology of acute abdominal pain is uncommon, we highlight some of the possible etiologies and emphasize the importance of accurate diagnosis and appropriate treatment of omental infarction.

scholarly journals Comparison of Clinical Characteristics and Neutrophil Values in Omental Infarction and Acute Appendicitis in Children

2010 ◽  
Vol 51 (3) ◽  
pp. 155-159 ◽  
Author(s):  
Ya-Ling Yang ◽  
Ying-Hsien Huang ◽  
Mao-Meng Tiao ◽  
Kuo-Shu Tang ◽  
Fu-Chen Huang ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Clinical Characteristics ◽  
Omental Infarction

scholarly journals Omental Infarction: A Review of 3 Cases

2020 ◽  
pp. 1-6
Author(s):  
Naveed Abbas ◽  
Naveed Abbas ◽  
Salman Ahmed ◽  
Shahid Kaimkhani
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Surgical Approach ◽  
Radiological Findings ◽  
Omental Infarction ◽  
The Third ◽  
Radiological Features ◽  
Adults And Children ◽  
Laparoscopic Intervention ◽  
Surgical Condition

Omental infarction is an unusual cause of abdominal pain presenting in both adults and children; though it is rare in both [1, 2]. The difficulty is in the initial diagnosis where it can present in a number of different ways and may mask an underlying surgical condition [3, 4]. Most cases are managed without surgery, however; continuing or worsening pain may push a surgical approach. We present 3 cases of omental infarction, all with characteristic radiological findings. One had accompanying radiological features of acute appendicitis, another continued abdominal pain and the third with symptoms responding well to analgesia. The first and second patients required laparoscopic intervention, while the third was managed conservatively.

Omental infarction—a mimicker of acute appendicitis in children

2005 ◽  
Vol 40 (8) ◽  
pp. 1224-1226 ◽  
Author(s):  
May Han Loh ◽  
Hon Chan Chui ◽  
Te-Lu Yap ◽  
Anette Sundfor ◽  
Carolyn Eng Looi Tan
Keyword(s):  
Acute Appendicitis ◽  
Omental Infarction

Omental infarction during acute appendicitis

2018 ◽  
Vol 151 (7) ◽  
pp. e39-e40
Author(s):  
Rafael Rodríguez Moncada ◽  
José Ángel López Díaz ◽  
Alberto Carrillo Acosta
Keyword(s):  
Acute Appendicitis ◽  
Omental Infarction

scholarly journals Idiopathic Omental Infarction, Diagnosed and Managed Laparoscopically: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Ahmed AbdulAziz ◽  
Tamer El Zalabany ◽  
Abdul Rahim Al Sayed ◽  
Ahmed Al Ansari
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Clinical Finding ◽  
Iliac Fossa ◽  
Sudden Onset ◽  
Free Fluid ◽  
Lower Quadrant ◽  
Omental Infarction ◽  
Rebound Tenderness ◽  
The Right

Idiopathic omental infarction is a rare cause of acute abdomen in adults, and the clinical finding can mimic acute appendicitis. Although idiopathic omental infarction is uncommon, the incidence of its detection has become more frequent as a result of advances in radiological technologies. We reported on a 21-year-old man who presented with sudden onset of intermittent right lower quadrant abdominal pain for seven days. The pain became more localized at the right iliac fossa (RIF) at day 2 before admission. A physical examination revealed a fever (38.2∘C), severe RIF tenderness, mass-like fullness, and positive rebound tenderness. A CT of the abdomen showed inflammatory changes and increased fat density mass in the right upper quadrant measuring5×4 cm representing focal panniculitis. However, the appendix was visualized normally and the findings were not in favor of acute appendicitis. Diagnosis was carried on laparoscopically. Serosanguinous free fluid was found in all abdominal quadrants. A6×4 cm gangrenous omental mass was noted. The omental mass was excised and an appendectomy was performed. In summary, omental infarction should be considered as a deferential diagnosis for acute right-sided abdominal pain, especially if the clinical finding does not correspond to appendicitis.

scholarly journals Omental Infarction in a Child—Conservative Management as an Effective and Safe Strategy in Diagnosis and Treatment

2021 ◽  
Vol 18 (15) ◽  
pp. 8057
Author(s):  
Mateusz Kozłowski ◽  
Oliwia Piotrowska ◽  
Kaja Giżewska-Kacprzak
Keyword(s):  
Conservative Treatment ◽  
Acute Appendicitis ◽  
Abdominal Ultrasound ◽  
Overweight And Obesity ◽  
Omental Infarction ◽  
Advantages And Disadvantages ◽  
Safe Strategy ◽  
Surgical Treatments ◽  
Time Of Admission ◽  
Suspected Acute Appendicitis

Omental infarction (OI) is a rare disease occurring in children. Important risk factors include overweight and obesity. The clinical presentation is often non-specific, and the main symptom is acute abdominal pain. In addition, infarcted omentum may present with fever, anorexia, nausea, vomiting, diarrhea and dysuria. Due to the localisation of the pain, OI should be differentiated from acute appendicitis. The diagnosis of OI is sometimes made intraoperatively, during appendectomy for suspected acute appendicitis. Hence, it is important to state a correct preoperative diagnosis, which is commonly based on abdominal ultrasound and computed tomography. The treatment of OI is still inconclusive. Both conservative and surgical treatments are used. Both methods have their advantages and disadvantages. The decision of which treatment to follow should be multifactorial and include the patient’s clinical condition at the time of admission, the progression or regression of symptoms during hospitalization and laboratory and imaging findings. We present a clinical case of a 9-year-old overweight girl with OI, whose diagnosis was based on imaging diagnostics and enabled conservative treatment with no complications. The case we have described confirms that the conservative treatment is an effective and safe therapy.

scholarly journals Omental Infarction with Acute Appendicitis in an Overweight Young Female: A Rare Presentation

2019 ◽  
Vol 2019 ◽  
pp. 1-5
Author(s):  
Vishnu R. Mani ◽  
Shantanu Razdan ◽  
Tonny Orach ◽  
Aleksandr Kalabin ◽  
Rinil Patel ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Ct Scan ◽  
Acute Abdomen ◽  
Treatment Options ◽  
Young Female ◽  
Uneventful Recovery ◽  
Rare Presentation ◽  
Omental Infarction ◽  
Obese Female ◽  
Limiting Condition

Omental infarction is an uncommon cause of acute abdomen but one that clinically mimics more serious and common causes of acute abdomen like appendicitis and cholecystitis. Historically, it was diagnosed only intraoperatively during surgery for presumed appendicitis or other causes of acute abdomen. But with the increase in the use of imaging, especially abdominal computed tomography (CT) scan in the work-up for acute abdomen, more cases of omental infarction are being diagnosed preoperatively. This has also led to the observation that omental infarction is a self-limiting condition which can be managed conservatively. Currently, conservative management and surgery are the only treatment options for omental infarction with no consensus as to the best treatment modality. Having a patient with both acute appendicitis and omental infarction simultaneously is extremely rare with only two reported cases in the literature thus far. Here, we present a 10-year-old obese female who presented to our hospital with acute abdomen and was found to have acute appendicitis and omental infarction. The patient underwent laparoscopic appendectomy and resection of the infarcted omentum and had uneventful recovery and was discharged on the second postoperative day. In this report, we present a review of current literature on omental infarction and highlight the importance of imaging especially abdominal CT scan in the nonoperative diagnosis and treatment of omental infarction.

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