IMAGES IN EMERGENCY MEDICINE
Omental infarction: a rare cause of acute abdominal pain
Department of Radiology, City General Hospital, University Hospital of North Staffordshire, Newcastle-under-Lyme, UK
Correspondence to:
Dr Sangeet Ghai, Department of Radiology, City General Hospital, University Hospital of North Staffordshire, Newcastle-under-Lyme, ST4 6QG, UK; sangeet_ghai@yahoo.com
Accepted 9 October 2006
| The first 150 words of the full text of this article appear below. |
A 38-year-old man presented to our emergency department with an acute history of abdominal pain. Physical examination elicited tenderness in the right upper quadrant. The only significant laboratory value was a raised C-reactive protein of 95 mg/l. The provisional diagnosis was of acute cholecystitis but the ultrasound scan that followed was normal. He remained symptomatic and subsequent computed tomography (fig 1) revealed ill defined stranding of the right sided omentum together with mild reactive bowel wall thickening, resulting in the diagnosis of omental infarction. The patient was treated conservatively and made a full and speedy recovery.
Figure 1 Omental infarct on the right side of the abdomen as indicated by the arrow in a 38-year-old man. Informed written consent was obtained for the publication of this figure.
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Omental infarction is caused by a compromise to the blood supply by either torsion or spontaneous venous thrombosis.1 Clinically it is often indistinguishable
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