Idiopathic Omental Infarction Mimic Acute Appendicitis: A Case Report

Idiopathic Omental Infarction Mimic Acute Appendicitis: A Case Report

Author Info

Corresponding Author
Hamad Almakinzy
Department of General Surgery, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia


Idiopathic Omental Infarct (IOI) is a rare cause of an acute abdomen that arises from an interruption of blood supply to the omentum. Since first case was described by Elitelin 1899, more than 300 cases have been published [1]. It can mimic serious surgical pathology. It occurs in <1% of appendicitis cases [2]. It’s challenge to diagnose, as features may mimic acute appendicitis and therefore in young patients, may only be discovered intra-operative. Here, we present a case of omental infarct in 26-year-old gentleman with no significant medical or surgical background who present with acute onset of right iliac fossa (RIF) pain. Examination revealed tenderness over the right iliac fossa and was having localized rebound. His inflammatory markers were high. He was successfully treated with laparoscopy surgery and he was subsequently discharged the following day.

Article Info

Article Type
Case Report
Publication history
Received: Mon 09, Nov 2020
Accepted: Thu 19, Nov 2020
Published: Tue 08, Dec 2020
© 2021 Hamad Almakinzy. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository. All rights reserved.
DOI: 10.31487/j.SCR.2020.12.07