Left-sided omental infarction: a rare cause of abdominal pain, discovered by CT scan

Rare cause of postoperative acute abdominal pain: Giant omental infarct later complicated by colonic fistulization

Omental infarction is caused by vascular obstruction with resulting tissue ischemia, representing a rare cause of abdominal pain. It has been described as a rare complication of gastric bypass. It is important to recognize omental infarction and its possible complications as The management is usually conservative with surgery deferred to specific cases. We present the case of a 56-year-old male with a history of gastric adenocarcinoma who underwent esophagogastrectomy with Roux-n-y reconstruction and 3 months later presented with severe persistent abdominal pain, due to a path proven giant omental infarction. Patient later was complicated with a colonic fistula to the omentum.

Laparoscopic Surgery for Diagnosis and Treatment of Acute Right Upper-Quadrant Abdominal Pain Due to Omental Infarction: A Report of a Rare Case in a Single Vietnamese Hospital

Case series

Patients: Female, 56-year-old • Female, 58-year-old

Final Diagnosis: Omental infarction • omental torsion

Symptoms: Abdominal and/or epigastric pain • nausea • right upper quadrant pain • vomiting

Medication: —

Clinical Procedure: Laparoscopic ometectomy • omentectomy

Specialty: Surgery