Ho C L, Devriendt H
Department of General Surgery, AZ Maria Middelares, Campus St Jozef, Gentbrugge, Belgium.
Acta Chir Belg. 2004 Aug;104(4):459-61.
Idiopathic right segmental infarction of the greater omentum is an uncommon cause of acute abdomen. The aetiology is still unclear and the symptoms mimick acute appendicitis. We present a case of a 77-year old man with unsignificant medical history, admitted with an acute abdomen, in whom the clinical diagnosis was unknown until an infarcted segment of right side of the greater omentum was found at laparoscopy, and successfully resected. As the aetiology is unknown, we highlighted some of the possible theories, and emphasize the importance of considering omental infarction in the differential diagnosis of right iliac fossa syndrome in cases of acute abdomen.
特发性大网膜右段梗死是急性腹痛的罕见病因。其病因尚不清楚，症状类似急性阑尾炎。我们报告一例77岁男性患者，既往病史无特殊，因急性腹痛入院，在腹腔镜检查发现大网膜右侧梗死段之前，临床诊断不明，后成功切除梗死段。由于病因不明，我们强调了一些可能的理论，并强调在急性腹痛患者的右髂窝综合征鉴别诊断中考虑网膜梗死的重要性。
