Document Detail


Omental infarction: case series and review of the literature.
MedLine Citation:
PMID:  19097725     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background: Omental infarction is a rare disease entity that can cause acute or subacute abdominal pain. In the past, it was thought that omental infarction mainly occurred on the right side because it was detected when surgery was performed on patients who complained of abdominal pain on the right side. Objective: We present this case to demonstrate that omental infarction can occur at any site, including the epigastric area and the lower abdomen, and even on the left side where the greater omentum is located. Case Report: Four patients with omental infarction presented to the Emergency Department with various clinical symptoms. All of them were diagnosed by computed tomography scan. Omental infarction occurred on the right side in 2 patients, at the epigastric area in 1 patient, and on the left side in 1 patient. Three were improved with supportive care. Laparoscopy was performed in 1 patient because his abdominal pain persisted despite conservative treatment. Conclusion: Omental infarction should be included in the differential diagnosis list of acute abdominal pain because it can occur at any site. In addition, because this disease runs a self-limited course, conservative care is recommended. Thus, unnecessary operations can be avoided in cases where omental infarction is diagnosed by imaging studies.
Authors:
Tae Ung Park; Je Hyeok Oh; In Taek Chang; Sang Jin Lee; Sung Eun Kim; Chan Woong Kim; Ju Won Choe; Kwang Jung Lee
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Publication Detail:
Type:  Journal Article     Date:  2008-12-20
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  42     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-02-13     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  149-54     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Affiliation:
Department of Emergency Medicine, Chung-Ang University Hospital, Seoul, Republic of Korea.
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