Lardies J M, Abente F C, Napolitano A, Sarotto L, Ferraina P
Gastrointestinal Surgery Division, Hospital de Clinicas José de San Martin, Universidad de Buenos Aires, Argentina.
Surg Laparosc Endosc Percutan Tech. 2001 Feb;11(1):60-2.
The authors report a rare case of a patient with a primary segmental infarction of the greater omentum who reported acute abdominal pain. Despite preoperative clinical studies and imaging evaluation, an etiologic diagnosis could not be determined. The diagnosis of this uncommon disease was determined after initial laparoscopic exploration. A laparoscopic resection was performed. The patient had an uneventful recovery and was discharged within 12 hours. The differential diagnosis of the right lower quadrant syndrome includes several disorders, of which the primary segmental infarction of the greater omentum is not frequent. The authors emphasize the usefulness of routine laparoscopic exploration in patients with RLQ syndrome because it adds the possibility of mini-invasive treatment to the initial diagnosis.
作者报告了一例罕见的大网膜原发性节段性梗死患者，该患者主诉急性腹痛。尽管进行了术前临床研究和影像学评估，但仍无法确定病因诊断。在最初的腹腔镜探查后确定了这种罕见疾病的诊断。进行了腹腔镜切除术。患者恢复顺利，12小时内出院。右下腹综合征的鉴别诊断包括多种疾病，其中大网膜原发性节段性梗死并不常见。作者强调常规腹腔镜探查对右下腹综合征患者的有用性，因为它在初始诊断的基础上增加了微创治疗的可能性。
