Are all primary omental infarcts truly idiopathic?Five case reports  

作　　者：Haldun Kar Danial Khabbazazar Nihan Acar Şebnem Karasu Halis Bağ Fevzi Cengiz Osman Nuri Dilek 

机构地区：[1]Department of General Surgery,Katip Celebi University Ataturk Training and Research Hospital,İzmir 35150,Türkiye [2]Department of Radiology,İzmir Katip Celebi University,School of Medicine,İzmir 35150,Türkiye [3]Department of Surgery,İzmir Katip Celebi University,School of Medicine,İzmir 35150,Türkiye

出　　处：《World Journal of Clinical Cases》2024年第24期5596-5603,共8页世界临床病例杂志

摘　　要：BACKGROUND Idiopathic omental infarction(IOI)is challenging to diagnose due to its low incidence and vague symptoms.Its differential diagnosis also poses difficulties because it can mimic many intra-abdominal organ pathologies.Although hypercoagulability and thrombosis are among the causes of omental infarction,venous thromboembolism scanning is rarely performed as an etiological investigation.CASE SUMMARY The medical records of the 5 cases,who had the diagnosis of IOI by computed tomography,were examined.The majority of the patients were male(n=4,80%)and the mean age was 31 years(range:21-38).The patients had no previous abdominal surgery or a history of any chronic disease.The main complaint of all patients was persistent abdominal pain.Omental infarction was detected in all patients with contrast-enhanced computed tomography.Conservative treatment was initially preferred in all patients,but it failed in 1 patient(20%).After discharge,all patients were referred to the hematology department for thrombophilia screening.Only 1 patient applied for thrombophilia screening and was homozygous for methylenetetrahydrofolate reductase(A1298C mutation)and heterozygous for a factor V Leiden mutation.CONCLUSION IOI should be considered in the differential diagnosis in patients presenting with progressive and/or persistent right side abdominal pain.Investigating risk factors such as hypercoagulability in patients with IOI is also important in preventing future conditions related to venous thromboembolism.

关 键 词：Omental infarction Acute abdominal pain Thrombophilia screening Factor V Leiden Methylenetetrahydrofolate reductase Case report 

分 类 号：R726.5[医药卫生—儿科]