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Omental Infarction: The Great Impersonator
A 58-year-old female presented to the emergency department with intermittent right upper quadrant pain and nausea. On examination, the patient was tender and Murphy’s sign was elicited. A presumptive diagnosis of acute cholecystitis was made but an ultrasound of the abdomen revealed a thin-walled ga...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cureus
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811161/ https://www.ncbi.nlm.nih.gov/pubmed/29468096 http://dx.doi.org/10.7759/cureus.1940 |
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author | Buell, Kevin G Burke-Smith, Alexandra Patel, Vishal Watfah, Josef |
author_facet | Buell, Kevin G Burke-Smith, Alexandra Patel, Vishal Watfah, Josef |
author_sort | Buell, Kevin G |
collection | PubMed |
description | A 58-year-old female presented to the emergency department with intermittent right upper quadrant pain and nausea. On examination, the patient was tender and Murphy’s sign was elicited. A presumptive diagnosis of acute cholecystitis was made but an ultrasound of the abdomen revealed a thin-walled gallbladder without calculi. A computed tomography (CT) scan of the abdomen and pelvis demonstrated fat stranding involving the greater omentum and the right paracolic gutter. The patient was diagnosed with a focal omental infarction and underwent emergency laparoscopic surgery. Intraoperatively, the thickened and infarcted omental segment was dissected off the abdominal wall, liver, and mesocolon and removed through the umbilical port site using an Endo Catch™ (Covidien Ltd, Dublin, Republic of Ireland). This paper presents a rare case of omental infarction and illustrates how it can mimic the classic presentation of acute cholecystitis. The literature around the incidence, pathogenesis, and management of omental infarction is reviewed and presented to the reader. |
format | Online Article Text |
id | pubmed-5811161 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Cureus |
record_format | MEDLINE/PubMed |
spelling | pubmed-58111612018-02-21 Omental Infarction: The Great Impersonator Buell, Kevin G Burke-Smith, Alexandra Patel, Vishal Watfah, Josef Cureus Emergency Medicine A 58-year-old female presented to the emergency department with intermittent right upper quadrant pain and nausea. On examination, the patient was tender and Murphy’s sign was elicited. A presumptive diagnosis of acute cholecystitis was made but an ultrasound of the abdomen revealed a thin-walled gallbladder without calculi. A computed tomography (CT) scan of the abdomen and pelvis demonstrated fat stranding involving the greater omentum and the right paracolic gutter. The patient was diagnosed with a focal omental infarction and underwent emergency laparoscopic surgery. Intraoperatively, the thickened and infarcted omental segment was dissected off the abdominal wall, liver, and mesocolon and removed through the umbilical port site using an Endo Catch™ (Covidien Ltd, Dublin, Republic of Ireland). This paper presents a rare case of omental infarction and illustrates how it can mimic the classic presentation of acute cholecystitis. The literature around the incidence, pathogenesis, and management of omental infarction is reviewed and presented to the reader. Cureus 2017-12-13 /pmc/articles/PMC5811161/ /pubmed/29468096 http://dx.doi.org/10.7759/cureus.1940 Text en Copyright © 2017, Buell et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Emergency Medicine Buell, Kevin G Burke-Smith, Alexandra Patel, Vishal Watfah, Josef Omental Infarction: The Great Impersonator |
title | Omental Infarction: The Great Impersonator |
title_full | Omental Infarction: The Great Impersonator |
title_fullStr | Omental Infarction: The Great Impersonator |
title_full_unstemmed | Omental Infarction: The Great Impersonator |
title_short | Omental Infarction: The Great Impersonator |
title_sort | omental infarction: the great impersonator |
topic | Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5811161/ https://www.ncbi.nlm.nih.gov/pubmed/29468096 http://dx.doi.org/10.7759/cureus.1940 |
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