Acute abdomen due to primary omentitis: a case report.
BACKGROUND
Idiopathic segmental infarction of the greater omentum (ISIGO) is an uncommon cause of acute abdomen in children and adults and its etiology is rather vague and speculative. The clinical presentation is usually with atypical acute or subacute abdominal pain. In a number of cases radiologic imaging allows proper preoperative diagnosis and treatment.


METHODS
We report a case of ISIGO in a 31 year old patient, who presented with acute abdominal pain, nausea, vomiting and leukocytosis. Radiologic investigation was non-specific. The patient underwent surgical resection of the infracted omentum with compete recovery.


CONCLUSIONS
ISIGO should be considered in the differential of acute abdomen especially when presentation is atypical and all other causes have been excluded. In cases with non-specific radiologic findings, laparotomy is necessary for proper diagnosis and treatment. Surgical resection of the infracted omentum results in uneventful recovery in the majority of cases.
Safioleas
Michael
M
2nd Department of Propedeutic Surgery, School of Medicine, Athens University, Laiko General Hospital, Greece. safmich@yahoo.com
Stamatakos
Michael
M
Giaslakiotis
Konstantinos
K
Smirnis
Anastasios
A
Safioleas
Panagiotis
P