scholarly journals Infarto de omento mayor. Presentación de dos casos con un tratamiento conservador

2020 ◽  
Vol 50 (3) ◽  
Author(s):  
Nolberto Adrián Medina-Gallardo ◽  
Yuhamy Curbelo-Peña ◽  
Júlia Gardenyes-Martínez ◽  
Tomás Stickar ◽  
Javier De Castro-Gutiérrez ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Conservative Treatment ◽  
Emergency Service ◽  
Clinical Presentation ◽  
Acute Abdominal Pain ◽  
Ct Diagnosis ◽  
Abdominal Ct ◽  
Omental Infarction ◽  
Blood Tests ◽  
The Right

Omental infarction is a rare cause of acute abdominal pain. Cases. The report is based on two cases who attended to emergency, complaining of abdominal pain with CT diagnosis of omental infarction. We present a case of a 42 years old man who consulted to the emergency service for a pain in the right hemiabdomen, with elevated inflammatory markers in blood tests. Radiological examination by abdominal CT showed an omental torsion infarction. The patient evolved favourably with conservative treatment. The second case is a 85 years old man appendectomized who consulted for a pain in the left iliac foza with physical examination and complementary and radiological, it is concluded that it is an omental infarction, with a good evolution due to the treatment. Discussion. Clinical diagnosis remains a challenge, due to its rarity and clinical presentation mimicking acute appendicitis or cholecystitis. Hence in the absence of imaging test, intraoperative diagnosis takes place. It can occur due to two main pathogenic mechanisms: Secondary to vascular pedicle torsion (primary or secondary to another abdominal pathology) or situations that predispose to thrombosis. Conclusion. Omental infarction should be considered in the differential diagnosis of acute abdominal pain. Once confirmed by CT abdominal scan, conservative treatment could be considered, avoiding unnecessary surgery.

scholarly journals Omental infarction following colonoscopy

2015 ◽  
Vol 06 (02) ◽  
pp. 073-075
Author(s):  
Antonio Gangemi ◽  
Aqsa Durrani ◽  
Brian R. Boulay
Keyword(s):  
Abdominal Pain ◽  
Ct Scan ◽  
Acute Abdominal Pain ◽  
Abdominal Ct ◽  
Lower Quadrant ◽  
Omental Infarction ◽  
Abdominal Ct Scan ◽  
The Right ◽  
Inflammatory Changes ◽  
Right Lower Quadrant

AbstractDiagnosis of omental infarction, while rare, has become increasingly common likely due to improvements in diagnostic imaging. Reported incidence of omental infarction varies; however, omental infarction has not yet been described in association with colonoscopy. Common complications of colonoscopy include complications of sedation, complications of bowel preparation, and bleeding following polypectomy, and rarely, perforation or infection. We describe herein a case of a 63-year-old female who developed acute right lower quadrant abdominal pain following a colonoscopy. Abdominal computed tomography (CT) scan revealed omental infarction in the right lower quadrant. Conservative management was employed, and the patient was observed for resolution of symptoms. Repeat abdominal CT scan 2 weeks following initial presentation showed resolution of inflammatory changes associated with omental infarction. The patient also improved clinically. Omental infarction should be considered in patients presenting with acute abdominal pain following colonoscopy.

scholarly journals Omental infarction in an obese 10-year-old boy

2011 ◽  
Vol 3 (3) ◽  
pp. 22 ◽  
Author(s):  
Katerina Kambouri ◽  
Stefanos Gardikis ◽  
Alexandra Giatromanolaki ◽  
Aggelos Tsalkidis ◽  
Efthimios Sivridis ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Preoperative Diagnosis ◽  
Acute Abdominal Pain ◽  
Accurate Diagnosis ◽  
Lower Abdomen ◽  
Omental Infarction ◽  
Appropriate Treatment ◽  
Low Incidence ◽  
The Right

Primary omental infarction (POI) has a low incidence worldwide, with most cases occurring in adults. This condition is rarely considered in the differential diagnosis of acute abdominal pain in childhood. Herein, we present a case of omental infarction in an obese 10-year-old boy who presented with acute abdominal pain in the right lower abdomen. The ultrasound (US) examination did not reveal the appendix but showed secondary signs suggesting acute appendicitis. The child was thus operated on under the preoperative diagnosis of acute appendicitis but the intraoperative finding was omental infarct. Since the omental infarct as etiology of acute abdominal pain is uncommon, we highlight some of the possible etiologies and emphasize the importance of accurate diagnosis and appropriate treatment of omental infarction.

scholarly journals Intestinal obstruction caused by pericecal internal herniation

2020 ◽  
Vol 2020 (2) ◽  
Author(s):  
Floris B Poelmann ◽  
Ewoud H Jutte ◽  
Jean Pierre E N Pierie
Keyword(s):  
Abdominal Pain ◽  
Intestinal Obstruction ◽  
Acute Abdominal Pain ◽  
Treatment Preference ◽  
Treatment Modalities ◽  
Internal Herniation ◽  
Lower Quadrant ◽  
Surgical History ◽  
The Right ◽  
Right Lower Quadrant

Abstract Intestinal obstruction caused by pericecal internal herniation are rare and only described in a few cases. This case describes an 80-year-old man presented with acute abdominal pain, nausea and vomiting, with no prior surgical history. Computed tomography was performed and showed a closed loop short bowel obstruction in the right lower quadrant and ascites. Laparoscopy revealed pericecal internal hernia. This is a viscous protrusion through a defect in the peritoneal cavity. Current operative treatment modalities include minimally invasive surgery. Laparoscopic repair of internal herniation is possible and feasible in experienced hands. It must be included in the differential diagnoses of every patient who presents with abdominal pain. When diagnosed act quick and thorough and expeditiously. Treatment preference should be a laparoscopic procedure.

scholarly journals Isolated intestinal Ganglioneuromatosis: case report and literature review

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Angela Mauro ◽  
Letizia Zenzeri ◽  
Francesco Esposito ◽  
Giovanni Gaglione ◽  
Caterina Strisciuglio ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Polypoid Lesion ◽  
Occult Blood ◽  
Fecal Occult Blood ◽  
Ileal Loop ◽  
Lower Quadrant ◽  
Blood Tests ◽  
Fecal Occult ◽  
The Right ◽  
Right Lower Quadrant

Abstract Background Intestinal Ganglioneuromatosis (IG) is a rare disorder of the enteric nervous system. In pediatric age it is often associated with genetic syndromes such as Neurofibromatosis 1 (NF1), multiple endocrine neoplasia type 2B (MEN2B) and Cowden syndrome (PTEN mutation), and ganglioneuromas (GNs) may be sometimes the first sign of the disease. Isolated GNs are rare and sporadic. Clinical symptom vary and depend on the size and on the location of the GNs. This disorder affects intestinal motility and it, consequently, causes changes in bowel habits, abdominal pain, occlusive symptoms and rarely lower gastrointestinal bleeding secondary to ulceration of the intestinal mucosa. On the other hand, patients can remain asymptomatic for many years. Case presentation We describe a 9-year-old boy referred to our emergency department for right lower quadrant abdominal pain. No familial history for gastrointestinal disorders. No history of fever or weight loss. At physical examination, he had diffused abdominal pain. Abdominal ultrasonography showed a hypoechoic formation measuring 41.8 mm by 35 mm in the right lower quadrant of the abdomen. Routine blood tests were normal, but fecal occult blood test was positive. Abdominal TC confirmed the hypodense formation, of about 5 cm in transverse diameter, in the right hypochondrium that apparently invaginated in the caecum-last ileal loop. Colonoscopy showed in the cecum an invaginated polypoid lesion of the terminal ileal loop. Laparoscopic resection of the polypoid lesion was performed. Histological diagnosis of the large neoplasm observed in the terminal ileum was diffuse ganglioneuromatosis. NF1, RET and PTEN gene tests resulted negative for specific mutations. At the 1 year follow-up, the patient presented good general condition and blood tests, fecal occult blood test, esophagogastroduodenoscopy, colonoscopy and MR-enterography were negative. Conclusions Only few cases are reported in literature of IG in pediatric age. Although rare, the present case suggests that this disorder must be taken in consideration in every patient with GI symptoms such as abdominal pain, constipation, lower intestinal bleeding, in order to avoid a delayed diagnosis.

Acute abdominal pain due to spontaneous rupture of the right gastric artery

2014 ◽  
Vol 32 (5) ◽  
pp. 491.e3-491.e4 ◽  
Author(s):  
Seungwoon Choi ◽  
Seokyong Ryu ◽  
Taekyung Kang ◽  
Hyejin Kim ◽  
Sungchan Oh ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Spontaneous Rupture ◽  
Acute Abdominal Pain ◽  
Gastric Artery ◽  
Right Gastric Artery ◽  
The Right

scholarly journals Omental Infarction: Unusual Complication after Laparoscopic Proctocolectomy

2019 ◽  
Vol 6 (4) ◽  
pp. 1-3
Author(s):  
Awni D Shahait ◽  
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Ct Scans ◽  
Unusual Complication ◽  
Patient Evaluation ◽  
Omental Infarction ◽  
First Case ◽  
Low Incidence ◽  
Uncertain Etiology ◽  
Laparoscopic Proctocolectomy

Omental Infarction is an under-explored origin of acute abdominal pain and has uncertain etiology. Because of its low incidence and nonspecific presentation, it can be difficult to diagnose. However, the increasing use of CT scans in patient evaluation has unveiled this phenomenon. We present the first case of postoperative omental infarction after laparoscopic proctocolectomy with end ileostomy in a 71-year-old male patient, who was successfully treated by removal of the infarct.

scholarly journals MODERN TERMINOLOGY, PATHOGENESIS, DIAGNOSTICS AND TREATMENT OF CHRONIC ABDOMINAL SYNDROME IN CHILDREN

2020 ◽  
Vol 74 (2) ◽  
pp. 178-181
Author(s):  
I.N. Khvorostov ◽  
◽  
A.G. Sinizyn ◽  
G.A. Kopan ◽  
O.N. Damirov ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Conservative Treatment ◽  
Laparoscopic Appendectomy ◽  
Surgical Intervention ◽  
Chronic Abdominal Pain ◽  
Iliac Region ◽  
Laboratory Parameters ◽  
Non Invasive ◽  
The Subject ◽  
The Right

The terminology of chronic abdominal pain, as well as further treatment tactics, are still the subject of debate. Conservative treatment in some patients with chronic abdominal pain is ineffective. Laparoscopic appendectomy is a scientifically based surgical intervention for patients with chronic abdominal syndrome with localization in the right iliac region in children who do not show peritoneal signs and changes in laboratory parameters, with the exception of intercurrent pathology by non-invasive methods.

scholarly journals Idiopathic omentum infarction in children — the law of "paired cases": cases report

2021 ◽  
Vol 11 (3) ◽  
pp. 403-408
Author(s):  
Islam H. Shidakov ◽  
Bakhtiyar M. Kalniyazov ◽  
Maryam N. Urusova
Keyword(s):  
Abdominal Pain ◽  
Clinical Picture ◽  
Histopathological Examination ◽  
Pain Syndrome ◽  
Complete Recovery ◽  
Greater Omentum ◽  
Surgical Strategies ◽  
Surgical Department ◽  
Omental Infarction ◽  
The Right

BACKGROUND: One of the rare causes of abdominal pain in children is an omental infarction. In the literature, there are few descriptions of this pathology in childhood. The disease is often diagnosed only intraoperatively because of its nonspecific clinical picture. Therefore, the clinical cases presented in the article may be of interest to pediatric surgeons. CASES REPORT: In the pediatric surgical department of our clinic, two patients aged five and six years old were treated after being admitted with abdominal pain syndrome, the clinical picture of which did not allow to exclude an acute surgical pathology. A laparoscopy was performed to clarify the diagnosis. Isolated lesions of the segments of the greater omentum were revealed without signs of torsion and pathology of other organs. The operations were completed by resection of the altered omental sections. Histopathological examination revealed hemorrhages and tissue necrosis. DISCUSSION: The localization of pain in the right abdomen necessitates differentiating the disease from acute appendicitis, cholecystitis, and acute gynecological pathology. In the treatment of patients with omental infarction, there are supporters of conservative and surgical strategies. We performed a resection of the affected omental segment, which enabled us to achieve complete recovery in both cases. CONCLUSION: Laparoscopy in unclear diagnostic situations permits the timely diagnosis of an omental infarction, and surgical minimally invasive intervention leads to a successful cure.

scholarly journals Uterine horn aplasia with complications in two mixed-breed bitches : case report

1997 ◽  
Vol 68 (4) ◽  
Author(s):  
M.L. Schulman ◽  
L.A. Bolton
Keyword(s):  
Congenital Anomaly ◽  
Abdominal Pain ◽  
Endometrial Hyperplasia ◽  
Acute Abdominal Pain ◽  
Clinical Signs ◽  
Uterine Horn ◽  
The Other ◽  
Blind Ending ◽  
Mixed Breed ◽  
The Right

Unilateral segmental uterine horn aplasia was found in 2 mixed-breed bitches. The 1st bitch was presented with clinical signs of acute abdominal pain, and pyometra was suspected. Pyometra was confirmed surgically with rupture of a blind-ending cranial portion of the anomalous right uterine horn, which had resulted in peritonitis. The 2nd bitch was presented for routine ovariohysterectomy. The right uterine horn was affected by segmental aplasia, with mucometra of the cranial portion of the affected horn. Histopathology demonstrated both uteri to have diffuse cystic endometrial hyperplasia. It is postulated that cystic endometrial hyperplasia, together with the congenital anomaly, resulted in pyometra in one case and in mucometra in the other case. This is believed to be the 1st report of uterine horn aplasia in the bitch in association with clinical signs and lesions other than infertility.

Falcıform lıgament torsıon caused by omental hernıa through the foramen of morgagnı

2021 ◽  
Vol 17 ◽  
Author(s):  
Ahmet Gürkan Erdemir ◽  
Yasin Yaraşır ◽  
Mehmet Ruhi Onur
Keyword(s):  
Abdominal Pain ◽  
Acute Abdominal Pain ◽  
Epigastric Pain ◽  
Falciform Ligament ◽  
Mri Findings ◽  
Case Presentation ◽  
Magnetic Resonance Imaging Mri ◽  
The Right ◽  
Omental Fat ◽  
Fat Herniation

Introduction: Torsion of the falciform ligament, one of the rarest causes of acute abdominal pain, often presents with pain in the right upper quadrant and epigastrium. Case Presentation: In this case, we present the computed tomography (CT) and magnetic resonance imaging (MRI) findings of torsion of the falciform ligament that occured in the presence of omental fat herniation through the foramen of Morgagni in an 88-year-old female patient who presented to the emergency department with acute epigastric pain. Conclusion: Torsion of the falciform ligament may develop secondary to omental hernia in the setting of Morgagni hernia and should be taken in consideration as one of the rarest causes of acute abdominal pain, even in elderly patients.

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