Abstract:
Partial infarction of the great omentum is a rare cause of abdominal pain and may present as a surgical emergency. Omental infarction might occur due to its torsion, but cases without obvious cause are reported. Risk factors related to this condition are overweight, obesity, abdominal trauma, recent abdominal surgery, hypercoagulability, postprandial vascular congestion and an increase in intra-abdominal pressure. Because of the condition\'s rarity, most patients are treated with surgery and the diagnosis is established intraoperatively. Preoperative diagnosis allows successful conservative treatment with analgesics and anti-inflammatory drugs. This case reports a young female patient with class III obesity presented with spontaneous partial infarction of the great omentum treated with laparoscopy.
摘要:
大网膜部分梗塞是腹痛的罕见原因,可能是外科急症。Omental梗塞可能是由于其扭转而发生的,但没有明显原因的病例报告。与这种情况相关的危险因素是超重,肥胖,腹部创伤,最近的腹部手术,高凝状态,餐后血管充血和腹内压升高。因为条件的稀有性,大多数患者均接受手术治疗,并在术中确定诊断。术前诊断允许使用镇痛药和抗炎药进行成功的保守治疗。该病例报道了一名患有III级肥胖的年轻女性患者,其腹腔镜治疗后出现了大网膜的自发性部分梗塞。