Udechukwu Nneka S, D'Souza Ryan S, Abdulkareem Abdullateef, Shogbesan Oluwaseun
Department of Internal Medicine, Reading Hospital and Medical Center, K-Building, 420 S 5th Ave, Reading, PA 19611, USA.
Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA.
Radiol Case Rep. 2018 Mar 15;13(3):583-585. doi: 10.1016/j.radcr.2018.02.019. eCollection 2018 Jun.
Omental infarction is a rare cause of acute abdominal pain. Without the support of radiological evidence, diagnosis is difficult to attain owing to its infrequent incidence, low awareness among clinicians, and its nonspecific presentation that mimics other causes of acute abdomen, namely, acute appendicitis and cholecystitis. Incorrect diagnosis may lead to unnecessary invasive surgery in patients with omental infarction, a disorder that is typically managed conservatively without exposing the patient to intraoperative risks and postoperative morbidity. We report a case of a 61-year-old man who presented to the emergency department with signs of peritonitis. He was eventually diagnosed with omental infarction through computed tomography of the abdomen. He was successfully managed medically with nonsteroidal anti-inflammatory and antiemetic medications, with complete resolution of his symptoms within 2 weeks.
大网膜梗死是急性腹痛的罕见原因。由于其发病率低、临床医生认识不足以及其非特异性表现类似于其他急腹症病因（即急性阑尾炎和胆囊炎），在缺乏影像学证据支持的情况下，很难做出诊断。大网膜梗死通常采用保守治疗，可避免患者术中风险和术后并发症，误诊可能导致患者接受不必要的侵入性手术。我们报告一例61岁男性患者，因腹膜炎体征就诊于急诊科。最终通过腹部计算机断层扫描诊断为大网膜梗死。他通过使用非甾体抗炎药和止吐药进行药物治疗，症状在2周内完全缓解。
