Tannoury Jenny, Yaghi Cesar, Gharios Joseph, Abboud Bassam
Faculty of Medicine, Saint-Joseph University, Hôtel Dieu de France Hospital, Department of Gastroenterology and Hepatology, Beirut, Lebanon.
Faculty of Medicine, Saint-Joseph University, Hôtel Dieu de France Hospital, Department of General Surgery, Beirut, Lebanon.
Presse Med. 2016 Oct;45(10):824-828. doi: 10.1016/j.lpm.2016.06.006. Epub 2016 Sep 7.
Omental ischemia is a rare cause of acute abdomen. Clinical diagnosis is usually difficult because clinical signs and symptoms are similar to other common causes of abdominal pain. The most common differential diagnosis is acute appendicitis. Diagnosis is mainly based on ultrasound, and especially computed tomography scan analysis. There is, at present, no standard treatment modality for omental ischemia. When diagnosed by radiological imaging, omental ischemia can be managed conservatively. We hereby review incidence, etiology, pathology, clinical presentation, differential diagnosis, biological anomalies, radiological features, and treatment options of omental ischemia.
网膜缺血是急性腹痛的罕见病因。临床诊断通常很困难，因为临床体征和症状与其他常见腹痛病因相似。最常见的鉴别诊断是急性阑尾炎。诊断主要基于超声检查，尤其是计算机断层扫描分析。目前，对于网膜缺血尚无标准的治疗方式。通过放射影像学诊断出网膜缺血后，可进行保守治疗。我们在此回顾网膜缺血的发病率、病因、病理、临床表现、鉴别诊断、生物学异常、放射学特征及治疗选择。
