Omental infarction as a delayed complication of abdominal surgery

Omental infarction, an uncommon cause of acute abdominal pain, is the result of compromised perfusion to the greater omentum. Although its etiology remains uncertain, predisposing factors include obesity [Surg. Today 30 (2000) 451], strenuous activity [N. Z. Med. J. 111 (1998) 211], trauma, and idio...

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Bibliographic Details
Published in:Clinical imaging 2001-09, Vol.25 (5), p.341-343
Main Authors: Schwartzman, Gregory J., Jacobs, Jill E., Birnbaum, Bernard A.
Format: Article
Language:English
Subjects:
Abdomen
Abdomen, Acute - etiology
Adenocarcinoma - surgery
Biological and medical sciences
Colonic Neoplasms - surgery
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Infarction
Infarction - diagnostic imaging
Male
Medical sciences
Middle Aged
Omentum
Omentum - blood supply
Omentum - diagnostic imaging
Other diseases. Semiology
Postoperative Complications - diagnostic imaging
Radiography
Surgery
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Summary:Omental infarction, an uncommon cause of acute abdominal pain, is the result of compromised perfusion to the greater omentum. Although its etiology remains uncertain, predisposing factors include obesity [Surg. Today 30 (2000) 451], strenuous activity [N. Z. Med. J. 111 (1998) 211], trauma, and idiopathic omental torsion. Often confused with acute appendicitis or cholecystitis on clinical grounds [Surg. Today 30 (2000) 451], its diagnosis has traditionally been one of exclusion, based on intraoperative and pathologic findings. This diagnosis can be made radiologically based on the characteristic findings of an inflammatory mass containing fat and fluid. We describe a case of right lower quadrant omental infarction temporally related to bowel surgery.
ISSN:0899-7071
1873-4499
DOI:10.1016/S0899-7071(01)00314-X