P-ISSN: 2708-1494, E-ISSN: 2708-1508
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International Journal of Case Reports in Surgery
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International Journal of Case Reports in Surgery

2022, Vol. 4, Issue 1, Part A

Right hypochondrial dilemma: A case report of omental infarction in elderly


Author(s): Dr. Deepu T, Dr. Joshua CC, Dr. Saravanan Thangavelu, Dr. Animesh M Nair, Dr. Karthik P and Dr. Liya K Babu

Abstract: Omental infarction is a rare cause of acute or subacute abdominal pain that is reported in surgical and radiological literature. A 65-year-old man presented with complaints of pain on the right side of upper abdomen for 3 days. Tenderness elicited over the right hypochondrium and a positive Murphy’s sign. Contrast enhanced computed tomography (CECT) scan showed a focal dense fatty lesion with hyperdense peripheral halo and surrounding mesenteric fat stranding adjacent to transverse colon in the right upper quadrant. He underwent diagnostic laparoscopy. A part of the greater omentum was found adherent to the anterior abdominal wall over the left lobe of the liver which was infarcted and was removed. Omental infarction is a rare entity and it may be considered as a differential diagnosis in acute abdominal pain once all the other common causes have been ruled out.

Pages: 07-09 | Views: 24 | Downloads: 9

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How to cite this article:
Dr. Deepu T, Dr. Joshua CC, Dr. Saravanan Thangavelu, Dr. Animesh M Nair, Dr. Karthik P, Dr. Liya K Babu. Right hypochondrial dilemma: A case report of omental infarction in elderly. Int J Case Rep Surg 2022;4(1):07-09.


International Journal of Case Reports in Surgery