PDF(Pubmed)
Abstract：
Omental infarction is an uncommon cause of abdominal pain. The condition is often misdiagnosed due to its clinical similarity to more common abdominal pathologies like appendicitis and cholecystitis. This report presents the case of a 57-year-old female with a one-week history of left-sided abdominal pain, initially aggravated by eating and defecation. The patient, a long-term smoker with a complex medical history that includes deep vein thrombosis and pulmonary embolism, was hemodynamically stable on presentation. A CT scan revealed a nodular infiltration consistent with an omental infarct. Conservative management was pursued, resulting in symptom resolution by the third day of hospitalization. This case underscores the diagnostic challenges associated with omental infarction, particularly its differentiation from other causes of acute abdominal pain. It highlights the importance of considering rare etiologies in patients with atypical presentations and emphasizes the role of imaging, particularly CT scans, in accurate diagnosis. The patient\'s successful conservative management aligns with current recommendations, which advocate for non-surgical treatment in most cases. This approach avoids unnecessary surgical interventions and ensures a favorable prognosis with low complication rates in patients with prompt and appropriate management.
摘要：
大脑梗塞是腹痛的罕见原因。由于其与阑尾炎和胆囊炎等更常见的腹部病理的临床相似性，该疾病经常被误诊。本报告介绍了一名57岁的女性，有一周的左侧腹痛史，最初因进食和排便而加重。病人,长期吸烟者，有复杂的病史，包括深静脉血栓形成和肺栓塞，表现为血流动力学稳定。CT扫描显示结节浸润与网膜梗塞一致。实行保守管理，导致住院第三天症状缓解。该病例强调了与网膜梗塞相关的诊断挑战，特别是它与其他急性腹痛原因的区别。它强调了在非典型表现的患者中考虑罕见病因的重要性，并强调了影像学的作用。尤其是CT扫描,准确的诊断。患者成功的保守治疗符合当前的建议，在大多数情况下主张非手术治疗。这种方法避免了不必要的手术干预，并确保了患者的预后良好，并发症发生率低。
