A challenging case of spontaneous idiopathic omental infarction in a trisomy 21 patient

Aaron Roy and Jin-Jiun Mah and Theiyallen Ambikapathi and Aung Mra and Firdaus Hayati (2022) A challenging case of spontaneous idiopathic omental infarction in a trisomy 21 patient. Annals of Medicine and Surgery, 78. pp. 1-3. ISSN 2049-0801

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Abstract

Omental infarction (OI) is a rare cause of acute abdominal pain that is often missed out. Due to its non-specific presentation can mimic other commoner conditions such as acute appendicitis, acute diverticulitis, and tuberculosis abdomen. We present a 42-year-old gentleman with trisomy 21 presenting right iliac fossa pain. Examination revealed tenderness in the right lower quadrant and blood parameters showed leucocytosis. With an initial impression of acute appendicitis, the patient was subjected to surgery. Intraoperatively, there were abnormalities to the omentum suggestive of OI, resulting in partial omentectomy. Symptom resolution occurred immediately and the patient was discharged early. OI is a rare cause of acute abdomen that can mimic other abdominal pathologies. In trisomy 21 patients who present with acute abdomen, thorough assessments including preoperative imaging are advisable. Diagnostic laparoscopy is recommended as OI can be managed via minimally invasive surgery, hence ensuring good surgical outcomes.

Item Type:	Article
Keyword:	Acute abdomen , Appendicitis , Infarction
Subjects:	Q Science > QM Human anatomy > QM1-695 Human anatomy R Medicine > RC Internal medicine > RC31-1245 Internal medicine
Department:	FACULTY > Faculty of Medicine and Health Sciences
Depositing User:	DG MASNIAH AHMAD -
Date Deposited:	25 Jul 2022 08:56
Last Modified:	25 Jul 2022 08:56
URI:	https://eprints.ums.edu.my/id/eprint/33462

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