Segmental omental infarction: an unusual cause of acute abdomen

Authors

  • José de Arimatéia Batista Araújo Filho Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.
  • Lorena Elaine Amorim Pinto Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.
  • João Augusto dos Santos Martines Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
  • Brenda Margatho Ramos Martines Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
  • Cláudio Campi de Castro Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
  • Rodrigo Montenegro Lourenção Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.

DOI:

https://doi.org/10.4322/acr.%25y.36462

Keywords:

Abdomen, Acute, Infarction, Omentum, Tomography, X-Ray computed.

Abstract

Omental infarction is a rare cause of acute abdominal pain, and the cause of omental infarction itself remains unknown. The diagnosis of omental infarction is occasionally made intra-operatively, because it is poorly known and presents no specific clinical features. Therefore omental infarction should always be considered in the differential diagnosis of abdominal inflammatory processes, mainly those affecting the right lower quadrant. The increasing use of computed tomography in cases of acute abdomen has facilitated the diagnosis of omental infarction in the pre-operative period. Here, we present the case of a 36-year-old, overweight female patient with clinical symptoms of acute abdomen. Computed tomography of the abdomen revealed indications of omental infarction. The patient was treated conservatively with analgesics and a nonsteroidal anti-inflammatory. The clinical evolution was favorable.

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Author Biographies

  • José de Arimatéia Batista Araújo Filho, Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.
    Heart Institute - Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.
  • Lorena Elaine Amorim Pinto, Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.
    Heart Institute - Hospital das Clínicas - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.
  • João Augusto dos Santos Martines, Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
    Diagnostic Imaging Service - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
  • Brenda Margatho Ramos Martines, Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
    Diagnostic Imaging Service - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.
  • Cláudio Campi de Castro, Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.

    Diagnostic Imaging Service - Hospital Universitário - Universidade de São Paulo, São Paulo/SP - Brazil.

    Department of Radiology - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.

  • Rodrigo Montenegro Lourenção, Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.
    Department of Clinical Surgery - Faculdade de Medicina - Universidade de São Paulo, São Paulo/SP - Brazil.

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Published

2012-06-08

Issue

Vol. 2 No. 2 (2012)

Section

Article / Clinical Case Report

License

Authors of articles published by Autopsy and Case Report retain the copyright of their work without restrictions, licensing it under the Creative Commons Attribution License - CC-BY, which allows articles to be re-used and re-distributed without restriction, as long as the original work is correctly cited.

How to Cite

Filho, J. de A. B. A., Pinto, L. E. A., Martines, J. A. dos S., Martines, B. M. R., de Castro, C. C., & Lourenção, R. M. (2012). Segmental omental infarction: an unusual cause of acute abdomen. Autopsy and Case Reports, 2(2). https://doi.org/10.4322/acr.%y.36462