Salih Mugahid A, Ibrahim Malaz I, Ali Abrar Y, Koko Alaa O
Anatomy Department, Faculty of Medicine, UofK, Sudan.
UofK, Sudan.
Int J Surg Case Rep. 2021 Mar;80:105321. doi: 10.1016/j.ijscr.2020.11.071. Epub 2020 Nov 19.
Idiopathic omental infraction is a rare cause of acute abdominal symptoms that has been known with growing recurrence in the past ten years. It presents as right iliac fossa pain, and it's sometimes misdiagnosed as acute appendicitis. In this study we present a case Report of idiopathic omental infraction as a cause of acute abdomen.
A 25 year old male, presented to the casualty complaing of intermittent worsening pain in the right side of the abdomen, this symptom which mimiced the other commoner causes of acute abdomen. On further investigations he had leukocytosis, high C-reactive protein and ESR levels, A contrast computed tomography suggested acute appendicitis, In due course patient was operated after taking his consent, inside the operation 70 % of the greater omentum was necrotic with a black colour, An omentectomy was performed and he was discharged after two days with good recovery.
A right side abdominal pain is not only confined to appendeceal diseases, So other disease should be put in consideration.
特发性大网膜梗死是急性腹部症状的罕见病因，在过去十年中其发病率呈上升趋势。它表现为右下腹疼痛，有时会被误诊为急性阑尾炎。在本研究中，我们报告一例以特发性大网膜梗死为病因的急腹症病例。
一名25岁男性患者因间歇性加重的右侧腹痛就诊于急诊科，该症状与其他常见的急腹症病因相似。进一步检查发现他有白细胞增多、高C反应蛋白和血沉水平，增强CT提示急性阑尾炎，在征得患者同意后适时进行了手术，术中发现70%的大网膜呈黑色坏死。进行了大网膜切除术，患者术后两天出院，恢复良好。
右侧腹痛不仅局限于阑尾疾病，还应考虑其他疾病。
