Presentation
Right upper quadrant pain for 2 days.
Patient Data
A definable, area of fat stranding is noted involving right hemi-abdomen omentum adjacent to hepatic flexure and transverse colon.
Major vessels are unremarkable.
The rest of the abdominal viscera appear normal.
The intra-opearative image shows infarcted segment of the omentum in right hemi-abdomen.
Case Discussion
CT findings with clinical presentation are most likely suggestive of omental infarction as described which was surgically proven.
Omental infarction is a rare cause of acute abdomen resulting from vascular compromise of the greater omentum. This condition has a non-specific clinical presentation and is usually managed conservatively.
The classic location of primary omental infarction is in the right lower quadrant medial to the ascending colon or cecum.
Co-contributor: Dr Anwar-ul-Haq Zadara
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