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Acute abdomen due to primary omentitis: a case report
Michael Safioleas1, Michael Stamatakos, Konstantinos Giaslakiotis
12nd Department of Propedeutic Surgery, School of Medicine, Athens University, Laiko General Hospital, Greece. safmich@yahoo.com
International Seminars in Surgical Oncology : ISSO
|July 28, 2007
Summary
Idiopathic segmental infarction of the greater omentum (ISIGO) is a rare cause of acute abdominal pain. Surgical resection of the affected omentum leads to complete recovery in most cases.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Idiopathic segmental infarction of the greater omentum (ISIGO) is an uncommon condition.
- It presents as atypical acute or subacute abdominal pain.
- The etiology of ISIGO remains vague and speculative.
Purpose of the Study:
- To present a case of ISIGO.
- To discuss diagnostic and treatment strategies for ISIGO.
Main Methods:
- Case report of a 31-year-old patient with ISIGO.
- Clinical presentation included acute abdominal pain, nausea, vomiting, and leukocytosis.
- Non-specific radiologic findings necessitated surgical intervention.
Main Results:
- Surgical resection of the infarcted omentum was performed.
- The patient experienced complete recovery post-surgery.
Conclusions:
- ISIGO should be considered in the differential diagnosis of acute abdomen, particularly with atypical presentations.
- Laparotomy is crucial for diagnosis and treatment when radiologic findings are non-specific.
- Surgical resection of the infarcted omentum ensures favorable outcomes.
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