Laparoscopic treatment of primary omental infarction
Epublication WebSurg.com, Jan 2019;19(01). URL: http://websurg.com/doi/vd01en5433
A 53-year-old man was admitted to the emergency department for right hypochondrium pain, fever, and weight loss, with clinical evidence of an abdominal mass in his right lumbar region. His white blood cell (WBC) count was 11.9x109/L and his C-reactive protein value was 11.7mg/dL. His abdominal CT-scan and MRI showed a 12.5cm omental mass, suggestive of omental infarction with a hemorrhagic component. His gastroscopy and colonoscopy were negative, and the needle biopsy of the mass was not suggestive of malignancy. Exploratory laparoscopy with biopsy or resection of the omental lesion was indicated. The total duration of the operation was 1 hour, and the omental mass was resected. The patient completely recovered from his symptoms, and was discharged after two days. Final histology of his lesion demonstrated an omental infarction with thrombosis, hemorrhage, and fat cell necrosis.