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- Title
IDIOPATHIC SEGMENTAL INFARCTION OF GREATER OMENTUM (ISIGO) A RARE CAUSE OF ACUTE ABDOMEN.
- Authors
Khan, Ameenah; Ahmed, Saira
- Abstract
A 52-year-old man presented to the the emergency department with severe right-sided abdominal pain. Murphy's sign was elicited. A presumptive diagnosis of acute cholecystitis was made. Ultrasound of the abdomen revealed normal appearance of gallbladder. CECT scan of his abdomen and pelvis demonstrated focal, non enhancing, mass like mesenteric fat stranding & thickening of greater omentum in right perihepatic region. The patient was diagnosed with idiopathic segmental infarction of greater omentum. (ISIGO) is a rare cause of right-sided abdominal pain, mimicking acute surgical pathologies. CT features can be diagnostic, but due to its rarity the diagnosis is often missed. We present a case of ISIGO and discuss the utility of CT scan & role of conservative management of ISIGO. The literature about the incidence, pathogenesis, and management of omental infarction is reviewed and presented to the reader.
- Subjects
OMENTUM; INFARCTION; CHOLECYSTITIS; ACUTE abdomen; ABDOMINAL pain; SURGICAL pathology; ABDOMEN
- Publication
Pakistan Journal of Radiology, 2020, Vol 30, Issue 4, p286
- ISSN
1607-2006
- Publication type
Article