Abstract
Omental infarction is an unusual cause of abdominal pain presenting in both adults and children; though it is rare in both [1, 2]. The difficulty is in the initial diagnosis where it can present in a number of different ways and may mask an underlying surgical condition [3, 4]. Most cases are managed without surgery, however; continuing or worsening pain may push a surgical approach. We present 3 cases of omental infarction, all with characteristic radiological findings. One had accompanying radiological features of acute appendicitis, another continued abdominal pain and the third with symptoms responding well to analgesia. The first and second patients required laparoscopic intervention, while the third was managed conservatively.
Highlights
The acute abdomen is a major presentation in Emergency departments (ED) around the world, with nearly 7-10% of all ED presentations [5]
The greater omentum is a large apron of fat hanging from the greater curvature of the stomach, the transverse colon and other viscera. It is primarily composed of adipose and fibrous tissue, lymph and blood vessels
The first case of segmental omental infarction was described by Bush in 1896 [12]
Summary
The acute abdomen is a major presentation in Emergency departments (ED) around the world, with nearly 7-10% of all ED presentations [5]. Omental infarction is an unusual cause of abdominal pain presenting in both adults and children; though it is rare in both [1, 2]. Most cases are managed without surgery, ; continuing or worsening pain may push a surgical approach. We present 3 cases of omental infarction, all with characteristic radiological findings.
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