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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
SUPPORTING INFORMATION
Author Contributions
Kyosuke Goda - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Eiji Umegaki - Substantial contributions to conception and design, Acquisition of data, Final approval of the version to be published
Akiko Shiotani - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
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.
