Korean J Med.  2009 Aug;77(Suppl 1):S36-S40.

A case of omental infarction successfully managed with conservative treatment

• Yoon SJ
• Park YD
• Chung YJ
• Lee SY
• Kim ES
• Park SY
• Jeon SW

Abstract

Infarction of the greater omentum is an uncommon cause of acute abdominal pain, usually diagnosed during surgery for suspected appendicitis. However, during the last decade, preoperatively diagnosed omental infarctions successfully managed with conservative treatments have been increasingly identified with expanded utilization and technical advancements of sonography and computed tomography (CT). We report a case of omental infarction in a middle aged woman. Diagnosis was confirmed by abdominal CT, and she was successfully managed with conservative treatments including analgesics and prophylactic antibiotics. Follow-up CT performed 14 days after discharge revealed a decrease of infarct area without any intra-abdominal complications. This report emphasizes that nonoperative management of omental infarction may be safe and effective in most cases.

Keyword

Acute abdomen; Omentum; Infarction

MeSH Terms

Abdomen, Acute
Abdominal Pain
Analgesics
Anti-Bacterial Agents
Appendicitis
Female
Follow-Up Studies
Humans
Infarction
Middle Aged
Omentum
Analgesics
Anti-Bacterial Agents