caa a22 4500 475753739 CHVBK 20180406123532.0 cr unu---uuuuu 170329e20000501xx s 000 0 eng 10.1007/s005950050623 doi (NATIONALLICENCE)springer-10.1007/s005950050623 Idiopathic segmental infarction of the greater omentum successfully treated by laparoscopy: Report of case [Elektronische Daten] [Federico Goti, Ralph Hollmann, Rudolf Stieger, Jochen Lange] Idiopathic or spontaneous segmental infarction of the greater omentum (ISIGO) is a rare cause of acute rightsided abdominal pain. The symptoms simulate acute appendicitis in 66% of cases and cholecystitis in 22%. Progressive peritonitis usually dictates laparotomy, and an accurate diagnosis is rarely made before surgery. The etiology of the hemorrhagic necrosis is unknown, but predisposing factors such as anatomic variations in the blood supply to the right free omental end, obesity, trauma, overeating, coughing, and a sudden change in position may play a role in the pathogenesis. We present herein the case of a 37-year-old man in whom ISIGO, precipitated by obesity and overeating, was successfully diagnosed and treated by laparoscopy. Resection of the necrotic part of the greater omentum is the therapy of choice, and ensures fast recovery and pain control. Serohemorrhagic ascites is a common finding in ISIGO, and careful exploration of the whole abdominal cavity should be performed. The laparoscopic approach allows both exploration and surgical intervention. Springer-Verlag, 2000 acute abdomen nationallicence infarction nationallicence greater omentum nationallicence laparoscopy nationallicence Goti Federico Department of Visceral Surgery, Cantonal Hospital, Rorschacherstrasse 95, CH-9007, St. Gallen, Switzerland aut Hollmann Ralph Department of Visceral Surgery, Cantonal Hospital, Rorschacherstrasse 95, CH-9007, St. Gallen, Switzerland aut Stieger Rudolf Department of Visceral Surgery, Cantonal Hospital, Rorschacherstrasse 95, CH-9007, St. Gallen, Switzerland aut Lange Jochen Department of Visceral Surgery, Cantonal Hospital, Rorschacherstrasse 95, CH-9007, St. Gallen, Switzerland aut Surgery Today Springer-Verlag 30/5(2000-05-01), 451-453 0941-1291 30:5<451 2000 30 595 https://doi.org/10.1007/s005950050623 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950050623 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Goti Federico Department of Visceral Surgery, Cantonal Hospital, Rorschacherstrasse 95, CH-9007, St. Gallen, Switzerland aut NATIONALLICENCE 700 1- Hollmann Ralph Department of Visceral Surgery, Cantonal Hospital, Rorschacherstrasse 95, CH-9007, St. Gallen, Switzerland aut NATIONALLICENCE 700 1- Stieger Rudolf Department of Visceral Surgery, Cantonal Hospital, Rorschacherstrasse 95, CH-9007, St. Gallen, Switzerland aut NATIONALLICENCE 700 1- Lange Jochen Department of Visceral Surgery, Cantonal Hospital, Rorschacherstrasse 95, CH-9007, St. Gallen, Switzerland aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/5(2000-05-01), 451-453 0941-1291 30:5<451 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer