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Idiopathic omental infarction: One for conservative or surgical management?

Idiopathic omental infarction: One for conservative or surgical management?
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Lindley SI, Peyser PM,


Lindley SI, Peyser PM, (click to view)

Lindley SI, Peyser PM,

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Journal of surgical case reports 2018 03 262018(3) rjx095 doi 10.1093/jscr/rjx095
Abstract

Idiopathic omental infarction (IOI) is a rare cause of right-sided abdominal pain, mimicking serious surgical pathology. It occurs in <4 in 1000 cases of appendicitis. IOI can be a challenge to diagnose, as features may mimic appendicitis, and therefore in young patients, may only be discovered on laparoscopy. CT features can be diagnostic, but due to its rarity the diagnosis may be unclear. The literature supports both conservative management and surgical management (to expedite symptom resolution). We present a case of IOI and discuss our management and learning from the case. We discuss the utility of CT radiology, conservative management and the benefits of non-resection management, even at laparoscopy.

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