Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2010

Open Access 01-12-2010 | Case report

Omental infarction in the postpartum period: a case report and a review of the literature

Authors: Michael Tachezy, Rainer Grotelüschen, Florian Gebauer, Andreas H Marx, Jakob R Izbicki, Jussuf T Kaifi

Published in: Journal of Medical Case Reports | Issue 1/2010

Login to get access

Abstract

Introduction

Omental infarction is a rare and often misdiagnosed clinical event with unspecific symptoms. It affects predominantly young and middle aged women.

Case presentation

This is a case report of a 26-year-old Caucasian woman with spontaneous omental infarction two weeks after normal vaginal delivery.

Conclusion

Omental infarction is a differential diagnosis in the postpartum acute abdomen. As some cases of omental infarction, which are caused by torsion, can be adequately diagnosed via computed tomography, a conservative treatment strategy for patients without complications should be considered in order to avoid any unnecessary surgical intervention.
Appendix
Available only for authorised users
Literature
1.
go back to reference Kimber CP, Westmore P, Hutson JM, Kelly JH: Primary omental torsion in children. J Paediatr Child Health. 1996, 32: 22-24. 10.1111/j.1440-1754.1996.tb01535.x.CrossRefPubMed Kimber CP, Westmore P, Hutson JM, Kelly JH: Primary omental torsion in children. J Paediatr Child Health. 1996, 32: 22-24. 10.1111/j.1440-1754.1996.tb01535.x.CrossRefPubMed
2.
go back to reference Knoop M, Vorwerk T: [Inflammatory alterations of the greater omentum--a difficult preoperative diagnosis]. Zentralbl Chir. 2002, 127: 626-628. 10.1055/s-2002-32850.CrossRefPubMed Knoop M, Vorwerk T: [Inflammatory alterations of the greater omentum--a difficult preoperative diagnosis]. Zentralbl Chir. 2002, 127: 626-628. 10.1055/s-2002-32850.CrossRefPubMed
4.
go back to reference Guerquin B, Pannequin L, Gregoire J, Legoulme C: [Tumor syndrome of omental origin in the post-partum period]. J Gynecol Obstet Biol Reprod (Paris). 1994, 23: 96-98. Guerquin B, Pannequin L, Gregoire J, Legoulme C: [Tumor syndrome of omental origin in the post-partum period]. J Gynecol Obstet Biol Reprod (Paris). 1994, 23: 96-98.
5.
go back to reference Phillips RW, Peterson CM: Infarction of the omentum after cesarean section. A case report. J Reprod Med. 1988, 33: 382-384.PubMed Phillips RW, Peterson CM: Infarction of the omentum after cesarean section. A case report. J Reprod Med. 1988, 33: 382-384.PubMed
6.
go back to reference Maternini M, Pezzetta E, Martinet O: Laparoscopic approach for idiopathic segmental infarction of the greater omentum. Minerva Chir. 2009, 64: 225-227.PubMed Maternini M, Pezzetta E, Martinet O: Laparoscopic approach for idiopathic segmental infarction of the greater omentum. Minerva Chir. 2009, 64: 225-227.PubMed
7.
go back to reference James AH: Pregnancy-associated thrombosis. Hematology Am Soc Hematol Educ Program. 2009, 277-285. James AH: Pregnancy-associated thrombosis. Hematology Am Soc Hematol Educ Program. 2009, 277-285.
8.
go back to reference Tompkins RK, Sparks FC: Primary torsion of the omentum - mimic of appendicitis: review of six cases. Am Surg. 1966, 32: 399-402.PubMed Tompkins RK, Sparks FC: Primary torsion of the omentum - mimic of appendicitis: review of six cases. Am Surg. 1966, 32: 399-402.PubMed
10.
go back to reference Naffaa LN, Shabb NS, Haddad MC: CT findings of omental torsion and infarction: case report and review of the literature. Clin Imaging. 2003, 27: 116-118. 10.1016/S0899-7071(02)00524-7.CrossRefPubMed Naffaa LN, Shabb NS, Haddad MC: CT findings of omental torsion and infarction: case report and review of the literature. Clin Imaging. 2003, 27: 116-118. 10.1016/S0899-7071(02)00524-7.CrossRefPubMed
11.
go back to reference Ceuterick L, Baert AL, Marchal G, Kerremans R, Geboes K: CT diagnosis of primary torsion of greater omentum. J Comput Assist Tomogr. 1987, 11: 1083-1084. 10.1097/00004728-198711000-00037.CrossRefPubMed Ceuterick L, Baert AL, Marchal G, Kerremans R, Geboes K: CT diagnosis of primary torsion of greater omentum. J Comput Assist Tomogr. 1987, 11: 1083-1084. 10.1097/00004728-198711000-00037.CrossRefPubMed
12.
go back to reference Puylaert JB: Right-sided segmental infarction of the omentum: clinical, US and CT findings. Radiology. 1992, 185: 169-172.CrossRefPubMed Puylaert JB: Right-sided segmental infarction of the omentum: clinical, US and CT findings. Radiology. 1992, 185: 169-172.CrossRefPubMed
13.
go back to reference Coulier B, Pringot J: [Pictorial essay. Infarction of the greater omentum: can US and CT findings help to avoid surgery?]. JBR-BTR. 2002, 85: 193-199.PubMed Coulier B, Pringot J: [Pictorial essay. Infarction of the greater omentum: can US and CT findings help to avoid surgery?]. JBR-BTR. 2002, 85: 193-199.PubMed
14.
go back to reference van Breda Vriesman AC, Lohle PN, Coerkamp EG, Puylaert JB: Infarction of omentum and epiploic appendage: diagnosis, epidemiology and natural history. Eur Radiol. 1999, 9: 1886-1892. 10.1007/s003300050942.CrossRefPubMed van Breda Vriesman AC, Lohle PN, Coerkamp EG, Puylaert JB: Infarction of omentum and epiploic appendage: diagnosis, epidemiology and natural history. Eur Radiol. 1999, 9: 1886-1892. 10.1007/s003300050942.CrossRefPubMed
15.
go back to reference Balthazar EJ, Lefkowitz RA: Left-sided omental infarction with associated omental abscess: CT diagnosis. J Comput Assist Tomogr. 1993, 17: 379-381. 10.1097/00004728-199305000-00007.CrossRefPubMed Balthazar EJ, Lefkowitz RA: Left-sided omental infarction with associated omental abscess: CT diagnosis. J Comput Assist Tomogr. 1993, 17: 379-381. 10.1097/00004728-199305000-00007.CrossRefPubMed
Metadata
Title
Omental infarction in the postpartum period: a case report and a review of the literature
Authors
Michael Tachezy
Rainer Grotelüschen
Florian Gebauer
Andreas H Marx
Jakob R Izbicki
Jussuf T Kaifi
Publication date
01-12-2010
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2010
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-4-368

Other articles of this Issue 1/2010

Journal of Medical Case Reports 1/2010 Go to the issue