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Acute abdomen caused by an infarcted omental lipoma

Ana Sánchez-Romero, David Costa-Navarro, Israel Oliver-García, Ana Fernández-Frías, José Manuel Navarro-Rodríguez,, Javier Lacueva-Gómez, Francisco Pérez-Vicente, Antonio Arroyo-Sebastián, Antonio Martínez Lorente, Rafael Calpena-Rico

CaseRepClinPractRev 2005; 6:171-173

ID: 428849

Background: Omental masses can histologicaly correspond to several entities, for instance, epiploic tumors, omental infarction, acute diverticulitis, acute appendicitis, traumatisms and so on.Case Report: We report on a case of a 47 year-old male who presented with abdominal pain in the right upper quadrant. Abdominal examination objectified a painful bulk in this location. Abdominal CT-scan showed a mass surrounded by huge inflammatory changes in the fat tissue (omentum). The patient underwent surgical operation and a 10 centimetres in diameter mass was removed. No postoperative complication was recorded. Conclusions: Histological examination found a necrosed omental lipoma. We discuss the possible diagnosis.

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