Treatment of idiopathic segmental infarction of the greater omentum by laparoscopic omentectomy
DOI:
https://doi.org/10.29193/RMU.36.3.10Keywords:
INFARCTION, LAPAROSCOPY, OMENTUMAbstract
Introduction: idiopathic segmental infarction of the greater omentum constitutes an exceptional cause of an acute condition in adults.
Clinical case: study presents the clinical case of a young adult who underwent an emergency laparoscopic appendectomy for the treamtent of acute apenditicis. The exploration revealed a segmental infarction of the greater omentum that was resolved by partial omentectomy. Evolution was good and the patient was allowed an early discharge.
Discussion: despite the fact an image diagnosis of infarction of the greater omentum is possible, its low incidence and the characteristics of its clinical presentation result in it usually being diagnosed during surgery. Treatment consists in laparoscopic omentenctomy of the affected area. Preoperative diagnosis may allow for watchful waiting, although persistence of symptoms requires readmission to hospital and extension of the definitive treatment.
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