Are all primary omental infarcts truly idiopathic?Five case reports
作者机构：Department of General SurgeryKatip Celebi University Ataturk Training and Research Hospitalİzmir 35150Türkiye Department of Radiologyİzmir Katip Celebi UniversitySchool of Medicineİzmir 35150Türkiye Department of Surgeryİzmir Katip Celebi UniversitySchool of Medicineİzmir 35150Türkiye
出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)
年 卷 期：2024年第12卷第24期
页 面：5596-5603页
学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学]
主 题：Omental infarction Acute abdominal pain Thrombophilia screening Factor V Leiden Methylenetetrahydrofolate reductase Case report
摘 要：BACKGROUND Idiopathic omental infarction(IOI)is challenging to diagnose due to its low incidence and vague *** differential diagnosis also poses difficulties because it can mimic many intra-abdominal organ *** hypercoagulability and thrombosis are among the causes of omental infarction,venous thromboembolism scanning is rarely performed as an etiological *** SUMMARY The medical records of the 5 cases,who had the diagnosis of IOI by computed tomography,were *** majority of the patients were male(n=4,80%)and the mean age was 31 years(range:21-38).The patients had no previous abdominal surgery or a history of any chronic *** main complaint of all patients was persistent abdominal *** infarction was detected in all patients with contrast-enhanced computed *** treatment was initially preferred in all patients,but it failed in 1 patient(20%).After discharge,all patients were referred to the hematology department for thrombophilia *** 1 patient applied for thrombophilia screening and was homozygous for methylenetetrahydrofolate reductase(A1298C mutation)and heterozygous for a factor V Leiden *** IOI should be considered in the differential diagnosis in patients presenting with progressive and/or persistent right side abdominal *** risk factors such as hypercoagulability in patients with IOI is also important in preventing future conditions related to venous thromboembolism.
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