Primary omental infarction: a report of a series of cases in an Indian tertiary care hospital

Authors

  • Ruru Ray Department of Surgery, St. Johns Medical College, Bangalore, Karnataka, India
  • Ann Sunny Department of Surgery, St. Johns Medical College, Bangalore, Karnataka, India
  • Giridhar Ashwath Department of Surgery, St. Johns Medical College, Bangalore, Karnataka, India
  • Anthony Prakash Rozario Department of Surgery, St. Johns Medical College, Bangalore, Karnataka, India
  • Rahul Sima Department of Surgery, St. Johns Medical College, Bangalore, Karnataka, India

DOI:

https://doi.org/10.18203/2349-2902.isj20201881

Keywords:

Abdominal pain, Abscess, Adult, Computed tomography, Infarction, Omentum, Omental infarction

Abstract

Primary omental infarction is a relatively rare and often presents as right sided abdominal pain. It is often diagnosed as appendicitis and is usually picked up intra-operatively, or - as often seen nowadays - on imaging. We describe a series of four cases of primary omental infarction that presented to us with varying clinical features. Three of them had a short history of right sided abdominal pain, whereas the fourth patient had a longer history of left sided abdominal pain. All 4 were managed operatively, with the fourth having presented with an intra-abdominal abscess that required laparotomy. Primary omental infarction is a diagnosis which must be considered in any case of acute abdomen. Cases diagnosed with certainty on imaging may be managed conservatively but must be followed up closely. Need for surgical intervention should be considered in select cases.

Author Biographies

Ruru Ray, Department of Surgery, St. Johns Medical College, Bangalore, Karnataka, India

Senior Resident

Department of General Surgery

Ann Sunny, Department of Surgery, St. Johns Medical College, Bangalore, Karnataka, India

Assistant professor

Department of General Surgery

Giridhar Ashwath, Department of Surgery, St. Johns Medical College, Bangalore, Karnataka, India

Assistant professor

Department of General Surgery

Anthony Prakash Rozario, Department of Surgery, St. Johns Medical College, Bangalore, Karnataka, India

Professor

Department of General Surgery

Rahul Sima, Department of Surgery, St. Johns Medical College, Bangalore, Karnataka, India

Assistant professor

Department of General Surgery

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Published

2020-04-23

Issue

Section

Case Series