A case report of omental infarction with conservative treatment

Introduction: OI is a rare condition that can occur at any age with a male to female ratio of 2:1, although most cases occur in individuals between 30 and 50 years of age. Patients with OI typically present with nonspecific acute or subacute abdominal pain that usually involves the right abdominal quadrants. The diagnosis of OI cannot be based on clinical presentation alone, as symptoms often mimic other abdominal conditions. Treatment usually involves a conservative approach with antibiotics, analgesics, and rest, but surgical intervention may become necessary in certain situations, such as diagnostic uncertainty, failure of conservative treatment, or the presence of complications such as abscess formation or peritonitis. Discussion: OI has a very low incidence of approximately 0.3% of all patients presenting with acute abdomen, and its underlying etiology remains poorly understood. Radiological imaging using computed tomography and magnetic resonance imaging has increased the diagnostic yield of omental infarction. The management of OI is a topic of debate. There is a paradigm shift from the previous surgical approach of performing laparotomy or laparoscopy to a more conservative management of IO. Conclusion: The etiology of IO is still not very well explained, but there are risk factors for the development of this pathology, such as obesity or blunt abdominal trauma. Computed tomography remains the best form of diagnosis in order to rule out other causes. Its treatment is still under discussion and may consist of surgical or conservative treatment.