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Case Report
Self-healing omental infarction diagnosed and followed-up using contrast-enhanced computed tomography: A case report and review of literature
1 Division of Gastroenterology, Department of Internal Medicine, Kawasaki Medical School, Kurashiki City, Okayama, Japan
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Kyosuke Goda
MD, Division of Gastroenterology, Department of Internal Medicine, Kawasaki Medical School, 577 Matsushima, Kurashiki City, Okayama Prefecture 701-0192,
Japan
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Article ID: 101102Z01KG2020
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Goda K, Umegaki E, Shiotani A. Self-healing omental infarction diagnosed and followed-up using contrastenhanced computed tomography: A case report and review of literature. Int J Case Rep Images 2020;11:101102Z01KG2020.ABSTRACT
Introduction: Omental infarction is a relatively rare disease characterized by acute abdomen. Nonsevere cases may be successfully treated without antibiotics. Although adult cases often require surgical treatment, it remains unknown under what circumstances patients may be treated conservatively, including whether antibiotics are necessary. We report a case of self-healing omental infarction with a clinical course confirmed by contrast-enhanced computed tomography (CT).
Case Report: A 53-year-old man presented to our emergency department with right lower abdominal pain. Contrast-enhanced CT scan revealed elevated fat density in the greater omentum and we diagnosed omental infarction based on these findings. The symptoms gradually improved with conservative treatment and we confirmed improvement using contrast-enhanced CT and blood tests.
Conclusion: Omental infarction is a relatively rare disease characterized by acute abdomen. Nonsevere cases may be successfully treated without antibiotics. We conclude that contrast-enhanced CT is useful for the diagnosis and follow-up of omental infarction that is treated conservatively.
Keywords: Conservative management, Contrast-enhanced computed tomography, Omental infarction
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Author Contributions
Kyosuke Goda - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Eiji Umegaki - Conception of the work, Design of the work, Acquisition of data, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Akiko Shiotani - Conception of the work, Design of the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2020 Kyosuke Goda et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
