ABSTRACT

Omental infarction is an uncommon cause of acute abdomen but one that clinically mimics more serious and common causes like appendicitis, pancreatitis and cholecystitis. With the increase in the use of abdominal computed tomography scan in the work-up for acute abdomen, more cases of omental infarction are being diagnosed preoperatively. This has also led to the observation that omental infarction is a self-limiting clinic which can be managed conservatively. Currently, conservative management and surgical approaches are the only treatment options for omental infarction, with no consensus as to the best treatment modality. Having a patient with both acute appendicitis and omental infarction simultaneously is extremely rare with only one adult reported in the literature thus far. Here is a presentation of 38-year-old class I obese female patient with acute abdomen and who was found to have acute appendicitis and omental infarction. The patient underwent laparoscopic appendectomy and partial resection of the infarcted omentum and had uneventful recovery and was discharged on the second postoperative day.