title: Simultaneous idiopathic segmental infarction of the great omentum with spontaneous splenic rupture: a rare association.
abstract: Idiopathic segmental infraction of the greater omentum (ISIGO) is a rare cause of acute abdomen. One of the main symptoms is right-side abdominal pain, while its etiology is still unclear. Until now, ISIGO simultaneously with spontaneous splenic rupture (SSR) has not been reported. Here, we presented a case of a 35-year old man, who was admitted with an acute abdomen, and the clinical diagnosis was ISIGO with SSR. He had a significant previous medical history of the vein thrombosis of lower limbs. Partial omental resection and splenectomy were performed, and the postoperative recovery of the patient was excellent. We also highlighted several possible theories to explain the etiology of the ISIGO, and emphasized that surgical methods, including laparoscopic surgery and laparotomy, are still the best way to treat the ISIGO at the emergency condition.
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Soochow University Suzhou 215006, China.
authors.forename: Ye
authors.initials: Y
authors.lastname: Han
authors.affiliation: Department of General Surgery, Kunshan Hospital of Traditional Chinese Medicine Kunshan 215000, China.
authors.forename: Hu-Gang
authors.initials: HG
authors.lastname: Shen
authors.affiliation: Department of General Surgery, Jiangsu Haimen People's Hospital Haimen 226100, China.
authors.forename: Jin-Jun
authors.initials: JJ
authors.lastname: Lu
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Soochow University Suzhou 215006, China.
authors.forename: Xiao-Feng
authors.initials: XF
authors.lastname: Xue
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Soochow University Suzhou 215006, China.
authors.forename: Bin
authors.initials: B
authors.lastname: Yuan
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Soochow University Suzhou 215006, China.
authors.forename: Tian-Yi
authors.initials: TY
authors.lastname: Xi
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Soochow University Suzhou 215006, China.
authors.forename: Jin
authors.initials: J
authors.lastname: Zhou
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Soochow University Suzhou 215006, China.
authors.forename: Yu-Ting
authors.initials: YT
authors.lastname: Kuang
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Soochow University Suzhou 215006, China.
authors.forename: Qiao-Ming
authors.initials: QM
authors.lastname: Zhi
authors.affiliation: Department of General Surgery, The First Affiliated Hospital of Soochow University Suzhou 215006, China.
authors.forename: Hong
authors.initials: H
authors.lastname: Zhao
keywords: Idiopathic segmental infraction of the greater omentum; emergency; spontaneous splenic rupture