[Primary infarction of the greater omentum].
Results of treatment of 10 patients with primary infarction of the greater omentum were analyzed. Young and middle-aged persons prevailed. Majority of the patients were hospitalized from 27 to 72 hours after disease manifestation. The cause of disease was not revealed in all the patients. Pains in right half of the abdomen were the main symptoms of primary infarction of the greater omentum. There were no specific clinical or laboratory signs. Seven patients were operated for suspected acute appendicitis, and 3 patients - for suspected acute cholecystitis. Pathology of the greater omentum was combined with hemorrhagic effusion in 8 of 10 patients. Resection of affected part of the greater omentum was performed in all the patients, 6 patients underwent simultaneous appendectomies. There were no postoperative complications. All the patients recovered. Mistakes leading to incorrect diagnosis are analyzed.
Kurguzov
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002764:Cholecystitis / Q000175:diagnosis; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007238:Infarction / Q000473:pathology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D016343:Monitoring, Intraoperative; D009852:Omentum / Q000098:blood supply* / Q000473:pathology* / Q000601:surgery