Omental Infarction: A Forgotten Entity
Correspondence Address :
Saili Kelshikar,
101, Dhanishtha, Tarangan, Thane-400606, Maharashtra, India.
E-mail: saili.kelshikar@gmail.com
Omental infarction is a cause of acute abdominal pain. It is a challenging diagnosis to make due to its infrequent occurrence, low awareness, and non specific presentation. It is generally recommended to manage it conservatively because of its self-limited nature. However, some physicians opt for surgical management due to the potential risk of abscess formation with conservative treatment. Omental infarction commonly occurs following torsion. The anatomical features of the omental sheet, such as its increased length, freely mobile lateral edge, and a weak blood supply, make it more susceptible to twisting along its long axis, leading to congestion. If the twist is severe enough or if there is prolonged obstruction to venous flow, arterial inflow may be compromised, resulting in infarction and potential complications like necrosis. Here, the authors present a case of a 64-year-old diabetic male who presented to the Emergency Department with acute right upper quadrant pain. He was diagnosed with omental infarction through Computed Tomography (CT) of the abdomen. The authors attempted conservative management, but his pain persisted despite analgesics. Subsequently, the authors opted for surgical intervention and performed an omentectomy. In cases of acute abdominal pain, conditions like omental infarction are often overlooked and should be considered in the differential diagnosis.
Abdominal pain, Emergency, Ischaemia, Mass, Necrosis, Omentectomy, Torsion, Whirl sign
DOI: 10.7860/JCDR/2024/67468.19362
Date of Submission: Sep 12, 2023
Date of Peer Review: Nov 23, 2023
Date of Acceptance: Mar 06, 2024
Date of Publishing: May 01, 2024
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
PLAGIARISM CHECKING METHODS:
• Plagiarism X-checker: Sep 13, 2023
• Manual Googling: Feb 29, 2024
• iThenticate Software: Mar 01, 2024 (10%)
ETYMOLOGY: Author Origin
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