What is the treatment for omental infarction?

What is the treatment for omental infarction?

How serious is omental infarction?

Omental infarction is a rare cause of acute abdomen, with an incidence equivalent to less than four cases per 1000 cases of appendicitis. Low incidence and non specific presentation contribute to OI being misconstrued for appendicitis, peptic ulcer disease, cholecystitis, pancreatitis, among other abdominal pathology.

Can omental infarction be cured?

Conclusion: Omental infarction is a relatively rare disease characterized by acute abdomen. Nonsevere cases may be successfully treated without antibiotics.

How many cases of omental infarction are there?

Omental infarction is a rare disease that affects the entire omentum or a segment of the greater omentum, the cause of which sometimes remains elusive [1, 2]. There have been about 300 cases of omental infarction reported in literature [3, 4] since the first case reported in 1896 by Bush [5].

How long does pain from omental infarction last?

Without necrosectomy, pain can persist for an average of 13.5 days [2]. Omental necrosectomy reduces the duration of abdominal pain, speeding up a patients’ discharge and return to normal activity [7].

How is omental infarction diagnosed?

Omental infarction should be considered with any patient presenting with acute right lower-quadrant pain. Abdominal ultrasonography and computed tomography should be used as initial diagnostic measures.

What causes omental infarct?

Omental infarction is caused by a compromise to the blood supply by either torsion or spontaneous venous thrombosis. Clinically it is often indistinguishable from acute cholecystitis and appendicitis.