Post-myomectomy omental infarction: a case report

Area of Science:

• Surgical techniques and patient outcomes in abdominal surgery.

Background:

• Omental infarction (OI) is an uncommon surgical complication that can mimic acute abdominal conditions.
• OI was first described in 1896, with approximately 400 cases reported to date.

Observation:

• A case of a 41-year-old woman who underwent myomectomy for symptomatic uterine fibroids.

Findings:

• The patient developed wound infection and omental extrusion post-myomectomy, requiring re-exploration and drainage of an abscess.
• Post-re-operation, the patient experienced surgical site infection and subsequent sub-acute intestinal obstruction, which resolved with conservative management.

Implications:

• This case highlights the importance of meticulous surgical technique when using omentum for reconstruction to prevent complications like OI.
• Increased surgeon awareness of omental infarction is essential for timely diagnosis and management of this rare condition.