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Primary abscess of the omentum
A Lupovitch1, A D Mann, T F Day
1Department of Pathology, Holy Cross Hospital, Detroit, Michigan.
The American Journal of Gastroenterology
|November 1, 1990
Summary
A primary omental abscess in a 65-year-old man, characterized by abdominal pain and fever, was successfully treated. Microscopic foreign particles suggested a silent bowel perforation, highlighting a rare cause of abdominal abscess.
Area of Science:
- Gastroenterology
- Abdominal Surgery
Background:
- Primary omental abscess is a rare clinical entity.
- Omental abscesses can present with non-specific symptoms like abdominal pain and fever.
Observation:
- A 65-year-old male presented with upper abdominal pain and fever.
- Microscopic foreign particles were discovered within the omental abscess.
Findings:
- The presence of foreign particles suggested a possible antecedent, clinically silent perforation of the bowel or appendix.
- Surgical resection of the affected omentum and antibiotic therapy were curative.
Implications:
- This case underscores the importance of considering silent gastrointestinal perforation in the differential diagnosis of omental abscesses.
- Early diagnosis and surgical intervention are crucial for favorable outcomes in primary omental abscesses.
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