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Laparoscopic management of an uncommon cause for right lower quadrant pain: A case report
Alfie J Kavalakat1, Chalissery J Varghese
1Consultant surgeon, Center for Laparoscopic Surgery and Minimally invasive procedures, Westfort Hospital & Westfort Hi-tech Hospital, Thrissur 680004, Kerala, India. alfiejose@gmail.com.
Introduction:
Primary segmental infarction of the greater omentum is an infrequent cause for right lower quadrant pain. The exact aetiology is unknown and the right side is more commonly involved. It usually presents like acute appendicitis and the diagnosis is made during exploration.
Case Report:
We report such a case which was diagnosed and managed by laparoscopy. A 27-year-old male presented with features suggestive of acute appendicitis. Preoperative imaging failed to diagnose the condition. Laparoscopy showed a segment of oedematous and haemorrhagic greater omentum adherent to the parietal wall over the right lower quadrant. The infarcted segment was excised and removed in a non permeable bag through the umbilical port. A short edited video of the operative findings and the procedure executed is also provided.
Conclusion:
Primary segmental infarction of the greater omentum is an uncommon cause of right lower quadrant pain mimicking appendicitis. Laparoscopy is both diagnostic as well as therapeutic.
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