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Idiopathic omental hemorrhage: A case report and review of the literature
INTRODUCTION: Omental hemorrhage results from rupture of the omental vessels. There are many causes of omental hemorrhage including trauma, aneurysm, and vasculitis. Idiopathic omental hemorrhage is a rare cause of an acute abdomen, which is potentially life-threatening. We report a patient with idi...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Elsevier
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5061304/ https://www.ncbi.nlm.nih.gov/pubmed/27721201 http://dx.doi.org/10.1016/j.ijscr.2016.10.003 |
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author | Kimura, Jiro Okumura, Kenji Katagiri, Hideki Lefor, Alan Kawarai Mizokami, Ken Kubota, Tadao |
author_facet | Kimura, Jiro Okumura, Kenji Katagiri, Hideki Lefor, Alan Kawarai Mizokami, Ken Kubota, Tadao |
author_sort | Kimura, Jiro |
collection | PubMed |
description | INTRODUCTION: Omental hemorrhage results from rupture of the omental vessels. There are many causes of omental hemorrhage including trauma, aneurysm, and vasculitis. Idiopathic omental hemorrhage is a rare cause of an acute abdomen, which is potentially life-threatening. We report a patient with idiopathic omental hemorrhage, which may have been caused by overeating. CASE PRESENTATION: A 29-year-old man without a history of trauma, bleeding disorders, or other significant medical history, presented with left upper quadrant pain, which began after overeating the previous evening. The pain worsened and he presented to the emergency department. On physical examination, his BP was 111/69 mmHg and pulse 71 and he reported tenderness and involuntary guarding in the left upper quadrant on palpation. Contrast enhanced computed tomography scan revealed intraperitoneal fluid collection with intra-omental extravasation. Significant intraperitoneal hemorrhage was suspected and emergency laparotomy was performed. On exploring the abdominal cavity, a hematoma was found in the greater omentum, adjacent to the right gastroepiploic artery. No active bleeding was seen, and partial omentectomy was performed. There were no obvious lesions suggestive of malignancy or aneurysm, supporting the diagnosis of idiopathic omental hemorrhage. On postoperative day six, the patient developed a wound dehiscence, which was surgically closed. The subsequent postoperative course was uneventful and he was discharged on fifth day after the second operation. CONCLUSION: Idiopathic omental hemorrhage is a rare cause of an acute abdomen, which may develop after eating. Omentectomy is preferred to ligation or transcatheter arterial embolization to rule out an underlying malignancy or aneurysm. |
format | Online Article Text |
id | pubmed-5061304 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-50613042016-10-17 Idiopathic omental hemorrhage: A case report and review of the literature Kimura, Jiro Okumura, Kenji Katagiri, Hideki Lefor, Alan Kawarai Mizokami, Ken Kubota, Tadao Int J Surg Case Rep Case Report INTRODUCTION: Omental hemorrhage results from rupture of the omental vessels. There are many causes of omental hemorrhage including trauma, aneurysm, and vasculitis. Idiopathic omental hemorrhage is a rare cause of an acute abdomen, which is potentially life-threatening. We report a patient with idiopathic omental hemorrhage, which may have been caused by overeating. CASE PRESENTATION: A 29-year-old man without a history of trauma, bleeding disorders, or other significant medical history, presented with left upper quadrant pain, which began after overeating the previous evening. The pain worsened and he presented to the emergency department. On physical examination, his BP was 111/69 mmHg and pulse 71 and he reported tenderness and involuntary guarding in the left upper quadrant on palpation. Contrast enhanced computed tomography scan revealed intraperitoneal fluid collection with intra-omental extravasation. Significant intraperitoneal hemorrhage was suspected and emergency laparotomy was performed. On exploring the abdominal cavity, a hematoma was found in the greater omentum, adjacent to the right gastroepiploic artery. No active bleeding was seen, and partial omentectomy was performed. There were no obvious lesions suggestive of malignancy or aneurysm, supporting the diagnosis of idiopathic omental hemorrhage. On postoperative day six, the patient developed a wound dehiscence, which was surgically closed. The subsequent postoperative course was uneventful and he was discharged on fifth day after the second operation. CONCLUSION: Idiopathic omental hemorrhage is a rare cause of an acute abdomen, which may develop after eating. Omentectomy is preferred to ligation or transcatheter arterial embolization to rule out an underlying malignancy or aneurysm. Elsevier 2016-10-04 /pmc/articles/PMC5061304/ /pubmed/27721201 http://dx.doi.org/10.1016/j.ijscr.2016.10.003 Text en © 2016 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Kimura, Jiro Okumura, Kenji Katagiri, Hideki Lefor, Alan Kawarai Mizokami, Ken Kubota, Tadao Idiopathic omental hemorrhage: A case report and review of the literature |
title | Idiopathic omental hemorrhage: A case report and review of the literature |
title_full | Idiopathic omental hemorrhage: A case report and review of the literature |
title_fullStr | Idiopathic omental hemorrhage: A case report and review of the literature |
title_full_unstemmed | Idiopathic omental hemorrhage: A case report and review of the literature |
title_short | Idiopathic omental hemorrhage: A case report and review of the literature |
title_sort | idiopathic omental hemorrhage: a case report and review of the literature |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5061304/ https://www.ncbi.nlm.nih.gov/pubmed/27721201 http://dx.doi.org/10.1016/j.ijscr.2016.10.003 |
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