Abstract

ROMERO-SERRANO, Sergio; PARDO-GONZALEZ, Sheyla  and  CAPACHO-QUINTANA, David. Omental infarction as an unusual cause of abdominal pain: a case report. Medicas UIS [online]. 2022, vol.35, n.1, pp.43-48.  Epub May 28, 2022. ISSN 0121-0319.  https://doi.org/10.18273/revmed.v35n1-2022004.

Omental infarction is an uncommon cause of acute abdomen and its etiology is not well known. Its nonspecific clinical presentation can simulate bibr more common pathologies which makes its diagnosis a clinical challenge. We present the case of a 33-year-old woman who attends the emergency room with symptoms of acute, atypical abdominal pain, ultrasound findings were suggestive of acute appendicitis, however, due to unusual symptoms, a computerized axial tomography (CT) of the abdomen was performed, with a suggestive report of diverticulitis. Given the clinical and imagenologycal findings mismatch, the patient underwent to diagnostic laparoscopy where omentum ischemia was evidenced as the only finding, partial omentectomy was performed. This is a case of clinical importance because the omental infarction should be considered among the differential diagnoses of acute abdominal pain, especially when the presentation is atypical and the most frequent pathologies have been excluded. MÉD.UIS.2022;35(1): 43-8.

Keywords : Abdominal pain; Acute abdomen; Laparoscopy; Omentum; Infarction.

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