Title: Primary Omental Infarction Presenting As a Parietal Wall Swelling: A Rare Case Report
Authors: Dr Samarth Agarwal, Dr Aftab Shaikh, Dr M S Navare, Dr Aman Singh, Dr M B Tayade
DOI: http://dx.doi.org/10.18535/jmscr/v3i8.58
DIDS : 08.2015-XXXXXXXX
Abstract
Primary omental infarction, acute or subacute, may present as acute abdomen or as sub-acute abdominal pain which frequently mimics other surgical emergencies. Primary omental infarction is idiopathic[1] in contrast to secondary which is associated with other intra abdominal pathologies. We present here a case of primary omental infarction with abscess formation infiltrating into the anterior abdominal wall muscle layers, presenting as abdominal pain with parietal wall swelling (in contrast to intra abdominal lump which is the common presentation) eventually managed with surgical intervention.
Keywords: omental infarction; omental abscess; parietal wall swelling; acute abdomen
References
1. Varjavandi V., Lessin M., Kooros K.,Fusunyan R., McCauley R.,Gilchrist B.: Omental infarction: riskfactors in children. J Pediatr Surg,2003, 38:233-235.
2. P. Bush, A case of haemorrhage into the greater omentum, The Lancet, 1896;147(3779):286.
3. G. Eittel, Rare omental torsion, NY Med Rec, 1899;55:715-6.
4. F.C. Abente, P. Ferraina, J.M. Lardies, A. Napolitano, L. Sarotto, Primary segmental infarction of the greater omentum: a rare cause of RLQ syndrome: laparoscopic resection, Surg Laparosc Endosc Percutan Tech [Case Reports], 2001 Feb;11(1):60-2.
5. J. Khersonsky, E. Itenberg, J. Mariadason, M. Wallack, Modern management of omental torsion and omental infarction: a surgeon's perspective, Journal of Surgical Education [Case Reports], 2010 Jan-Feb;67(1):44-7.
6. Sanchez J, Rosado R, Ramirez D, Medina P, Mezquita S, Gallardo A: Torsion of the greater omentum: treatment by laparoscopy.Surg Laparosc Endosc Percutan Tech 2002, 12:443-445
7. E.K. Abdennasser, D. Abdellatif, B. Driss, A. Mehci, B. Mohamed, C. Souad, Omental torsion and infarction: CT appearance. Internal Medicine. [Case Reports], 2008;47(1):73-4.
8. S. Khanna, N. Patle, P.K. Sasmal, O. Tantia, Omental torsion and infarction: a diagnostic dilemma and its laparoscopic management, Journal of Laparoendoscopic & Advanced Surgical Techniques, 2010 Apr;Part A. 20(3):225-9.
9. E. Chatzigianni, A.J. Karayiannakis, Primary torsion of the greater omentum: Report of a case, Surg Today, 2002;32:913-5.
10. J.B. Puylaert, Right-sided segmental infarction of the omentum: clinical, US, and CT findings, October 1992 Radiology, 185, 169-172.
11. C.L. Fernandez-Rey, Primary omental infarction as cause of non-surgical acute abdomen: imaging diagnosis, Revista Espanola de Enfermedades Digestivas [Case Reports], 2010 Jul 2010;102(8):498-9.
12. B. Coulier, Contribution of US and CT for diagnosis of intraperitoneal focal fat infarction (IFFI): a pictorial review, Jbr-Btr: Organe de la Societe Royale Belge de Radiologie. [Review], 2010 Jul-Aug;93(4):171-85.
13. J.A. Albasini, M.F. Arenas, V.S. Aledo, E.G. Baena, M.C. Arenas , J.A. Jimenez, M.J. Perello, B.F. Pastor, [Omental torsion: imaging techniques can prevent unnecessary surgical interventions], Gastroenterologia y Hepatologia [English Abstract Review], 2002 Oct;25(8):493-6.