A rare case of acute primary omental infarction
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Primary omental infarction (POI) is a rare cause of acute abdominal pain. The first case of POI was reported by Bush in 1896.The typical clinical presentation of POI is pain in the right side of the abdomen, and this may lead to a misdiagnosis of acute appendicitis or cholecystitis. Here, we present a case of POI, with pain in the left lower quadrant. Laparoscopy was performed for the diagnosis and treatment of this case.A 50-year-old woman admitted to the emergency room with a history of worsening abdominal pain for 5 days. The pain began in the upper abdomen and later localized to the left lower quadrant, and the pain intensity exacerbated with activities. The pain was sharp and constant in nature without nausea or vomiting. On physical examination, the patient was febrile with a temperature of 38.1°C and had severe left lower quadrant tenderness and abdominal rigidity. The previous history included an open ectopic pregnancy surgery in 1996, and no atrial fibrillation, no venous thrombosis, no contraceptive, or aspirin usage.An abdominal computed tomography (CT) was performed and showed a left ovarian cyst measuring 6.0 cm × 4.5 cm with no other remarkable findings...

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