Nijkamp Jamie L G, Gerretsen Suzanne C, Stassen Patricia M
Internal Medicine, Maastricht Universitair Medisch Centrum+ Interne Geneeskunde, Maastricht, The Netherlands.
Radiology, Maastricht Universitair Medisch Centrum +, Maastricht, The Netherlands.
BMJ Case Rep. 2018 May 8;2018:bcr-2017-224138. doi: 10.1136/bcr-2017-224138.
Omental infarction in adults is a rarely occurring phenomenon, with left-sided omental infarction being even more seldom. The importance of this case report lies in raising awareness of the diagnosis omental infarction as a cause of acute abdomen among doctors who work in the emergency department, in order to prevent unnecessary surgical interventions as conservative treatment generally solves the problem. Omental infarction is the result of vascular obstruction and ends in tissue ischaemia. Because of the rich vasculature of the greater omentum, anastomoses reorganise the vascularisation, which explains the mostly benign course of omental infarction. By adding omental infarction to the list of differential diagnoses in patients who present with acute abdominal pain, future management of patients with an acute abdomen can be adjusted for the optimal approach to not overlook any surgery-requiring diagnosis as well as to prevent overtreatment.
成人网膜梗死是一种罕见的现象，左侧网膜梗死更为少见。本病例报告的重要性在于提高急诊科医生对网膜梗死作为急腹症病因的诊断意识，以防止不必要的手术干预，因为保守治疗通常能解决问题。网膜梗死是血管阻塞的结果，最终导致组织缺血。由于大网膜血管丰富，吻合支重新组织血管化，这解释了网膜梗死大多为良性病程的原因。将网膜梗死添加到急性腹痛患者的鉴别诊断列表中，可以调整急腹症患者的未来管理方式，以采取最佳方法，既不忽视任何需要手术的诊断，又能防止过度治疗。
