PDF(Pubmed)
Abstract：
Omental infarction (OI) is a rare condition with an overall incidence of less than 0.3%. It can occur spontaneously or can be secondary to trauma, surgery, and inflammation. While previously a diagnosis of exclusion, due to development in imaging technology, OI can now be identified based on CT findings. OI symptoms can mimic an acute abdomen, prompting potentially unnecessary surgical exploration. Treatment options range from conservative management to interventional radiology or surgical resection of the infarcted omentum. We are presenting the first case of OI following robotic-assisted inguinal hernia repair. This case highlights the importance of considering OI in differential diagnoses for patients presenting with acute abdominal pain, the utility of imaging workup in identifying OI, and guidance for conservative treatment approaches to reduce unnecessary surgical intervention.
摘要：
Omental梗塞（OI）是一种罕见的疾病，总发病率低于0.3％。它可以自发发生，也可以继发于创伤，手术,和炎症。虽然以前是排除的诊断，由于成像技术的发展，现在可以根据CT发现来识别OI。OI症状可以模仿急腹症，提示可能不必要的手术探查。治疗选择范围从保守治疗到介入放射学或梗塞网膜的手术切除。我们正在介绍机器人辅助腹股沟疝修补术后的第一例OI。该病例强调了在急性腹痛患者的鉴别诊断中考虑OI的重要性，成像检查在识别OI中的效用，并指导保守治疗方法，减少不必要的手术干预。
