Omental Infarction, a Rare Entity of the Acute Abdomen
Keywords:
Acute Abdomen, Omentum, InfarctionAbstract
Introduction: Omental infarction is an entity of the acute abdomen that is characterized by being an inflammatory, self-limiting and benign process. Its diagnostic certainty ranges between 0.6 and 4.8%. It is more frequent between the fourth and fifth decade of life, with a predominance of the male sex.
Objective: To describe the clinical and therapeutic characteristics of omental infarction as a rare entity in the acute abdomen.
Methods: A bibliographic review from 25 references was carried out. Articles and information from publications in the Elsevier, SciELO, Medline, Dialnet databases and the Google Scholar search engine were used.
Development: Omental infarction is caused by the involvement of the right gastro-omental artery and is classified as primary and secondary. The fundamental clinical manifestation is pain; but imaging undoubtedly plays a decisive role in the diagnosis. Initial management with drugs is often the immediate approach.
Conclusions: Omental infarction is classified as a rare cause of acute abdomen. Conservative management is positioned as the most commonly used option, but it is undoubtedly surgical treatment that offers a complete resolution of the problem and a lower risk of recurrence or abscess formation.
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