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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
PubMed

Insights

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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