Case Report
BibTex RIS Cite

Nadir Görülen Bir Akut Karın Olgusu: İdiopatik Omental İnfarkt

Year 2018, Volume: 25 Issue: 3, 329 - 332, 01.09.2018
https://doi.org/10.17343/sdutfd.372741

Abstract

Omental
infarkt büyük omentumun kan akımında azalma sonucu ortaya çıkan nadir bir
durumdur. Çoğunlukla altta yatan başka bir patolojiye ikincil ortaya çıksa
herhangi bir sebebe bağlı olmaksızın da görülebilmektedir.

Bilinen
herhangi bir ek hastalığı ya da geçirilmiş cerrahi öyküsü olmayan 65 yaşında
bayan hasta iki gündür olan ve giderek artan, sağ alt kadranda daha belirgin
ağrı şikayeti ile başvurdu. Karın ağrısına eşlik eden bulantı, kusma,
iştahsızlık, ateş gibi başka bir şikayeti yoktu. Yapılan tahlil, tetkik ve
muayene bulguları neticesinde hasta idiopatik omental infarkt olarak
değerlendirildi. Konservatif olarak takip edilen hasta sorunsuz şekilde taburcu
edildi.





İdiopatik
omental infarkt genelde kendi kendini sınırlayabilen, nadir bir akut karın
ağrısı sebebidir. Her ne kadar radyolojik bulguları belirgin olmayan, klinik
gidişatı kötü olanlarda cerrahi müdahale zorunlu olsa da tanıda şüphe olmayan
hastalarda konservatif tedavi yöntemleri ile gereksiz cerrahi ve anestezi
riskleri önlenebilmektedir.

References

  • 1. Battaglia L, Belli F, Vannelli A, Bonfanti G, Gallino G, Poiasina E et al. Simultaneous idiopathic segmental infarction of the great omentum and acute appendicitis: a rare association. World J Emerg Surg. 2008 Oct 29;3:30.
  • 2. Park TU, Oh JH, Chang IT, Lee SJ, Kim SE, Kim CW et al. Omental infarction: case series and review of the literature. J Emerg Med. 2012 Feb;42(2):149-54.
  • 3. Goti F, Hollmann R, Stieger R, Lange J. Idiopathic segmental infarction of the greater omentum successfully treated by laparoscopy: report of case. Surg Today. 2000;30(5):451-3.
  • 4. Bush P. A case of haemorrhage into the greater omentum. Lancet. 1896;147:286.
  • 5. Lardies JM, Abente FC, Napolitano A, Sarotto L, Ferraina P. Primary segmental infarction of the greater omentum: a rare cause of RLQ syndrome: laparoscopic resection. Surg Laparosc Endosc Percutan Tech. 2001 Feb;11(1):60-2.
  • 6. Rao A, Remer EM, Phelan M, Hatem SF. Segmental omental infarction. Emerg Radiol. 2007 Jul;14(3):195-7.
  • 7. Sakellaris G, Stathopoulos E, Kafousi M, Arbiros J, Bitsori M, Charissis G. Primary idiopathic segmental infarction of the greater omentum: two cases of acute abdomen in childhood. J Pediatr Surg. 2004 Aug;39(8):1264-6.
  • 8. Puylaert JB. Right-sided segmental infarction of the omentum: clinical, US, and CT findings. Radiology. 1992 Oct;185(1):169-72.
  • 9. Soobrah R, Badran M, Smith SG. Conservative management of segmental infarction of the greater omentum: a case report and review of literature. Case Rep Med. 2010;2010. pii: 765389.
  • 10. Grattan-Smith JD, Blews DE, Brand T. Omental infarction in pediatric patients: sonographic and CT findings. AJR Am J Roentgenol 2002 June;178(6):1537-9.
  • 11. Barai KP, Knight BC. Diagnosis and management of idiopathic omental infarction: A case report. Int J Surg Case Rep. 2011;2(6):138-40.
  • 12. Costi R, Cecchini S, Randone B, Violi V, Roncoroni L, Sarli L. Laparoscopic diagnosis and treatment of primary torsion of the greater omentum. Surg Laparosc Endosc Percutan Tech 2008 Feb;18(1):102–5.
  • 13. Kavalakat AJ, Varghese CJ. Laparoscopic management of an uncommon cause for right lower quadrant pain: A case report. Cases J. 2008 Sep 19;1(1):164.
Year 2018, Volume: 25 Issue: 3, 329 - 332, 01.09.2018
https://doi.org/10.17343/sdutfd.372741

Abstract

References

  • 1. Battaglia L, Belli F, Vannelli A, Bonfanti G, Gallino G, Poiasina E et al. Simultaneous idiopathic segmental infarction of the great omentum and acute appendicitis: a rare association. World J Emerg Surg. 2008 Oct 29;3:30.
  • 2. Park TU, Oh JH, Chang IT, Lee SJ, Kim SE, Kim CW et al. Omental infarction: case series and review of the literature. J Emerg Med. 2012 Feb;42(2):149-54.
  • 3. Goti F, Hollmann R, Stieger R, Lange J. Idiopathic segmental infarction of the greater omentum successfully treated by laparoscopy: report of case. Surg Today. 2000;30(5):451-3.
  • 4. Bush P. A case of haemorrhage into the greater omentum. Lancet. 1896;147:286.
  • 5. Lardies JM, Abente FC, Napolitano A, Sarotto L, Ferraina P. Primary segmental infarction of the greater omentum: a rare cause of RLQ syndrome: laparoscopic resection. Surg Laparosc Endosc Percutan Tech. 2001 Feb;11(1):60-2.
  • 6. Rao A, Remer EM, Phelan M, Hatem SF. Segmental omental infarction. Emerg Radiol. 2007 Jul;14(3):195-7.
  • 7. Sakellaris G, Stathopoulos E, Kafousi M, Arbiros J, Bitsori M, Charissis G. Primary idiopathic segmental infarction of the greater omentum: two cases of acute abdomen in childhood. J Pediatr Surg. 2004 Aug;39(8):1264-6.
  • 8. Puylaert JB. Right-sided segmental infarction of the omentum: clinical, US, and CT findings. Radiology. 1992 Oct;185(1):169-72.
  • 9. Soobrah R, Badran M, Smith SG. Conservative management of segmental infarction of the greater omentum: a case report and review of literature. Case Rep Med. 2010;2010. pii: 765389.
  • 10. Grattan-Smith JD, Blews DE, Brand T. Omental infarction in pediatric patients: sonographic and CT findings. AJR Am J Roentgenol 2002 June;178(6):1537-9.
  • 11. Barai KP, Knight BC. Diagnosis and management of idiopathic omental infarction: A case report. Int J Surg Case Rep. 2011;2(6):138-40.
  • 12. Costi R, Cecchini S, Randone B, Violi V, Roncoroni L, Sarli L. Laparoscopic diagnosis and treatment of primary torsion of the greater omentum. Surg Laparosc Endosc Percutan Tech 2008 Feb;18(1):102–5.
  • 13. Kavalakat AJ, Varghese CJ. Laparoscopic management of an uncommon cause for right lower quadrant pain: A case report. Cases J. 2008 Sep 19;1(1):164.
There are 13 citations in total.

Details

Subjects Clinical Sciences
Journal Section Case Reports
Authors

Halil İbrahim Taşcı 0000-0003-2478-0294

Publication Date September 1, 2018
Submission Date December 29, 2017
Acceptance Date January 11, 2018
Published in Issue Year 2018 Volume: 25 Issue: 3

Cite

Vancouver Taşcı Hİ. Nadir Görülen Bir Akut Karın Olgusu: İdiopatik Omental İnfarkt. Med J SDU. 2018;25(3):329-32.

                                                                                               14791 


Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/Medical Journal of Süleyman Demirel University is licensed under Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International.