The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2009;77(1):36-40.
보존적 치료로 호전된 대망 경색 1예
윤석진, 박영대, 정윤진, 이세영, 김은수, 박수영, 전성우
A case of omental infarction successfully managed with conservative treatment
Seok Jin Yoon, Young Dae Park, Yoon Jin Chung, Se Young Lee, Eun Soo Kim, Soo Young Park, Seong Woo Jeon


Abstract
Infarction of the greater omentum is an uncommon cause of acute abdominal pain, usually diagnosed during surgery for suspected appendicitis. However, during the last decade, preoperatively diagnosed omental infarctions successfully managed with conservative treatments have been increasingly identified with expanded utilization and technical advancements of sonography and computed tomography (CT). We report a case of omental infarction in a middle aged woman. Diagnosis was confirmed by abdominal CT, and she was successfully managed with conservative treatments including analgesics and prophylactic antibiotics. Follow-up CT performed 14 days after discharge revealed a decrease of infarct area without any intra-abdominal complications. This report emphasizes that nonoperative management of omental infarction may be safe and effective in most cases.

Keywords :Acute abdomen, Omentum, Infarction
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