Date of Presentation

5-6-2021 12:00 AM

College

School of Osteopathic Medicine

Poster Abstract

Omental infarction is a rare cause of acute abdomen pain first described by Eitel in 1899 and has been described in the literature with total numbers ranging from 250-400 worldwide with many coming from individual case reports. Risk factors for developing omental infarction are thought to be obesity, trauma, intense exercise or secondary to torsion from adhesions. Historically, the diagnosis of omental infarction was made incidentally in the operating room for patients with an acute abdomen with a different suspected diagnosis. Most often being appendicitis with associated right lower quadrant abdominal pain and smaller subset from suspected diverticulitis and cholecystitis in the left lower and right upper quadrants respectively. The increasing availability of high-resolution CT scans of the abdomen/pelvis has led to increased reports of omental infarction as a cause for an acute abdomen in the literature. In this case report we present a case of idiopathic omental infarction found in a 28-year-old male who presented with left lower quadrant abdominal pain who was managed with conservative treatment. I will also discuss the recommended treatment guidelines based on the limited data in the literature many of which are from case reports and a recently published systematic review.

Keywords

abdominal pain, omentum, infarction, risk factors, peritoneal cavity

Disciplines

Diagnosis | Emergency Medicine | Internal Medicine | Medicine and Health Sciences | Pathological Conditions, Signs and Symptoms

Document Type

Poster

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May 6th, 12:00 AM

Omental Infarction: A Rare Cause of Abdominal pain

Omental infarction is a rare cause of acute abdomen pain first described by Eitel in 1899 and has been described in the literature with total numbers ranging from 250-400 worldwide with many coming from individual case reports. Risk factors for developing omental infarction are thought to be obesity, trauma, intense exercise or secondary to torsion from adhesions. Historically, the diagnosis of omental infarction was made incidentally in the operating room for patients with an acute abdomen with a different suspected diagnosis. Most often being appendicitis with associated right lower quadrant abdominal pain and smaller subset from suspected diverticulitis and cholecystitis in the left lower and right upper quadrants respectively. The increasing availability of high-resolution CT scans of the abdomen/pelvis has led to increased reports of omental infarction as a cause for an acute abdomen in the literature. In this case report we present a case of idiopathic omental infarction found in a 28-year-old male who presented with left lower quadrant abdominal pain who was managed with conservative treatment. I will also discuss the recommended treatment guidelines based on the limited data in the literature many of which are from case reports and a recently published systematic review.

 

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