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Intra-Omental Islet Transplantation Using h-Omental Matrix Islet filliNG hOMING
Published on: March 14, 2019
Idiopathic omental infarction: One for conservative or surgical management?
Steve I Lindley1, Paul M Peyser1
1The Royal Cornwall Hospital NHS Trust, 2 Penventinnie Lane, Treliske, Truro TR1 3LQ, UK.
Abstract:
Idiopathic omental infarction (IOI) is a rare cause of right-sided abdominal pain, mimicking serious surgical pathology. It occurs in <4 in 1000 cases of appendicitis. IOI can be a challenge to diagnose, as features may mimic appendicitis, and therefore in young patients, may only be discovered on laparoscopy. CT features can be diagnostic, but due to its rarity the diagnosis may be unclear. The literature supports both conservative management and surgical management (to expedite symptom resolution). We present a case of IOI and discuss our management and learning from the case. We discuss the utility of CT radiology, conservative management and the benefits of non-resection management, even at laparoscopy.
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