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

ABSTRACT:

Background

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.

Case presentation

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.

Conclusion

OI is a rare cause of acute abdomen

SUBMITTER: Roy A 

PROVIDER: S-EPMC9206908 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature