Conservative Management of Omental Infarction Using Only Analgesia.

IF 1.2 4区医学 Q4 GASTROENTEROLOGY & HEPATOLOGY

Acta gastro-enterologica Belgica Pub Date : 2026-04-01 DOI:10.51821/89.2.14889

A Koopmans, D Tenzin, E Brusselle

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Abstract

Background: Omental infarction (OI) is an uncommon and often misdiagnosed cause of acute abdominal pain. Through increasing use of computed tomography (CT) early identification has improved, avoiding unnecessary surgical intervention.

Case presentation: A 49-year-old woman presented with right-sided abdominal pain radiating to the epigastrium. Laboratory tests revealed elevated inflammatory markers while abdominal ultrasound was inconclusive. CT revealed a localized area of fat stranding in the right hypochondrium, consistent with OI. The patient was managed conservatively with analgesia and intravenous fluids. She was discharged pain-free after 4 days of hospitalization. On reassessment three weeks later, she remained asymptomatic with normalized inflammatory markers.

Conclusion: OI should be considered in the differential diagnosis of right-sided abdominal pain. CT is essential for establishing diagnosis, guiding management and avoiding unnecessary surgery. Conservative treatment is safe and effective in most cases, provided patients are closely monitored for clinical deterioration.

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仅使用镇痛的保守治疗大网膜梗死。

背景：大网膜梗死（OI）是一种罕见且常被误诊的急性腹痛病因。通过增加使用计算机断层扫描（CT），早期识别得到改善，避免不必要的手术干预。病例介绍：一名49岁女性，表现为右侧腹部疼痛，并放射至上腹部。实验室检查显示炎症标志物升高，而腹部超声检查尚无定论。CT显示右侧肋下有局部脂肪滞留，符合成骨不全。对患者进行保守治疗，给予镇痛和静脉输液。住院4天后无疼痛出院。三周后重新评估，她仍然无症状，炎症标志物正常化。结论：在右侧腹痛的鉴别诊断中应考虑成骨不全。CT对诊断、指导治疗和避免不必要的手术至关重要。在大多数情况下，保守治疗是安全有效的，只要密切监测患者的临床恶化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta gastro-enterologica Belgica Medicine-Gastroenterology

CiteScore

2.30

自引率

20.00%

发文量

期刊介绍： The Journal Acta Gastro-Enterologica Belgica principally publishes peer-reviewed original manuscripts, reviews, letters to editors, book reviews and guidelines in the field of clinical Gastroenterology and Hepatology, including digestive oncology, digestive pathology, as well as nutrition. Pure animal or in vitro work will not be considered for publication in the Journal. Translational research papers (including sections of animal or in vitro work) are considered by the Journal if they have a clear relationship to or relevance for clinical hepato-gastroenterology (screening, disease mechanisms and/or new therapies). Case reports and clinical images will be accepted if they represent an important contribution to the description, the pathogenesis or the treatment of a specific gastroenterology or liver problem. The language of the Journal is English. Papers from any country will be considered for publication. Manuscripts submitted to the Journal should not have been published previously (in English or any other language), nor should they be under consideration for publication elsewhere. Unsolicited papers are peer-reviewed before it is decided whether they should be accepted, rejected, or returned for revision. Manuscripts that do not meet the presentation criteria (as indicated below) will be returned to the authors. Papers that go too far beyond the scope of the journal will be also returned to the authors by the editorial board generally within 2 weeks. The Journal reserves the right to edit the language of papers accepted for publication for clarity and correctness, and to make formal changes to ensure compliance with AGEB’s style. Authors have the opportunity to review such changes in the proofs.