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Omental infarction mimicking cholecystitis
David Smolilo1, Benjamin C Lewis2, Marina Yeow1
1Department of Surgery, Flinders Medical Centre, Bedford Park, SA 5042, Australia.
Case Reports in Surgery
|March 5, 2015
Summary
Omental infarction, a rare condition, presents diagnostic challenges due to non-specific symptoms and inconclusive imaging. This case highlights an atypical presentation mimicking cholecystitis, requiring exploratory laparoscopy for diagnosis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Omental infarction is challenging to diagnose preoperatively.
- Patients often present with symptoms mimicking common surgical conditions like appendicitis.
Purpose of the Study:
- To report an atypical case of omental infarction.
- To highlight diagnostic challenges and the utility of laparoscopy.
Main Methods:
- Case report of a 40-year-old male patient.
- Clinical presentation with abdominal and shoulder pain.
- Diagnostic workup including exploratory laparoscopy.
Main Results:
- Atypical omental infarction mimicking cholecystitis was diagnosed.
- Necrotic segment of omentum was found occluded and adhered to the abdominal wall.
- Exploratory laparoscopy confirmed the diagnosis.
Conclusions:
- Omental infarction can present atypically, mimicking other pathologies.
- Exploratory laparoscopy is crucial for diagnosing unusual cases.
- Adherence of necrotic omentum to the abdominal wall is an uncommon finding.
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