Park Tae Ung, Oh Je Hyeok, Chang In Taek, Lee Sang Jin, Kim Sung Eun, Kim Chan Woong, Choe Ju Won, Lee Kwang Jung
Department of Emergency Medicine, Chung-Ang University Hospital, Seoul, Republic of Korea.
J Emerg Med. 2012 Feb;42(2):149-54. doi: 10.1016/j.jemermed.2008.07.023. Epub 2008 Dec 20.
Omental infarction is a rare disease entity that can cause acute or subacute abdominal pain. In the past, it was thought that omental infarction mainly occurred on the right side because it was detected when surgery was performed on patients who complained of abdominal pain on the right side.
We present this case to demonstrate that omental infarction can occur at any site, including the epigastric area and the lower abdomen, and even on the left side where the greater omentum is located.
Four patients with omental infarction presented to the Emergency Department with various clinical symptoms. All of them were diagnosed by computed tomography scan. Omental infarction occurred on the right side in 2 patients, at the epigastric area in 1 patient, and on the left side in 1 patient. Three were improved with supportive care. Laparoscopy was performed in 1 patient because his abdominal pain persisted despite conservative treatment.
Omental infarction should be included in the differential diagnosis list of acute abdominal pain because it can occur at any site. In addition, because this disease runs a self-limited course, conservative care is recommended. Thus, unnecessary operations can be avoided in cases where omental infarction is diagnosed by imaging studies.
网膜梗死是一种罕见的疾病，可引起急性或亚急性腹痛。过去，人们认为网膜梗死主要发生在右侧，因为它是在对右侧腹痛患者进行手术时被发现的。
我们展示此病例以证明网膜梗死可发生在任何部位，包括上腹部和下腹部，甚至在大网膜所在的左侧。
四名网膜梗死患者因各种临床症状就诊于急诊科。他们均通过计算机断层扫描确诊。2例患者网膜梗死发生在右侧，1例发生在上腹部，1例发生在左侧。3例经支持治疗后病情好转。1例患者因保守治疗后腹痛持续而接受了腹腔镜检查。
网膜梗死应列入急性腹痛的鉴别诊断清单，因为它可发生在任何部位。此外，由于这种疾病呈自限性病程，建议采取保守治疗。因此，在通过影像学检查诊断为网膜梗死的病例中，可以避免不必要的手术。
