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A Journal on Surgery

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Chirurgia 2007 February;20(1):47-9

language: English

An unusual case of primary segmental infarction of the greater omentum and calcified, infarcted appendix epiploica

Bunting C., Ravichandran M., Ridings P.

Department of General Surgery, Brighton and Sussex University Hospitals NHS Trust, UK


Primary or idiopathic segmental infarction of the greater omentum and infarcted appendix epiploica are recognised differential diagnoses of the acute abdomen. At presentation, these conditions are commonly confused with acute cholecystitis or acute appendicitis and the diagnoses are seldom made preoperatively. Calcified, infarcted appendices epiploicae have also been reported presenting as peritoneal loose bodies, with or without symptoms depending on their size and position. We present a case of primary segmental infarction of the greater omentum presenting with acute right sided abdominal pain on a background of eight weeks of mild epigastric discomfort and dyspeptic symptoms. This was treated with resection of the mass of infarcted omentum after ligation of the omental pedicle through an upper midline abdominal incision. In the same patient, a peritoneal loose body was discovered, subsequently proven to be a calcified, infarcted appendix epiploica.

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