Nadir Görülen Bir Akut Karın Olgusu: İdiopatik Omental İnfarkt

Omental infarkt büyük omentumun kan akımında azalma sonucu ortaya çıkannadir bir durumdur. Çoğunlukla altta yatan başka bir patolojiye ikincilortaya çıksa da herhangi bir sebebe bağlı olmaksızın da görülebilmektedir.Bilinen herhangi bir ek hastalığı ya da geçirilmiş cerrahi öyküsü olmayan 65yaşında bayan hasta iki gündür olan ve giderek artan, sağ alt kadranda dahabelirgin ağrı şikayeti ile başvurdu. Karın ağrısına eşlik eden bulantı, kusma,iştahsızlık, ateş gibi başka bir şikayeti yoktu. Yapılan tahlil, tetkik ve muayenebulguları neticesinde hasta idiopatik omental infarkt olarak değerlendirildi.Konservatif olarak takip edilen hasta sorunsuz şekilde taburcu edildi. İdiopatikomental infarkt genelde kendi kendini sınırlayabilen, nadir bir akut karınağrısı sebebidir. Her ne kadar radyolojik bulguları belirgin olmayan, klinik gidişatıkötü olanlarda cerrahi müdahale zorunlu olsa da tanıda şüphe olmayanhastalarda konservatif tedavi yöntemleri ile gereksiz cerrahi ve anesteziriskleri önlenebilmektedir.

A Rare Case of Acute Abdomen: İdiopathic Omental İnfarction

Omental infarction is a rare condition caused by the decrease in blood flow in the greater omentum. Although it is mostly seen secondarily to another underlying pathology, it can also emerge independent of any other reason. A 65-year-old female patient, who had no known comorbidity or previous history of surgery, presented with complaints of increasing pain for the last two days which was more pronounced in the right lower quadrant. The patient did not have other complaints like nausea, vomiting, lack of appetite, or fever accompanying abdominal pain. The patient was diagnosed with idiopathic omental infarction as shown by the results of tests, studies, and examinations conducted. The patient was treated conservatively and was discharged without any problems. Idiopathic omental infarction is a rare cause of acute abdomen which can generally limit itself. Although surgical intervention is necessary in cases with unspecified radiological results and bad clinical prognoses, unnecessary surgical procedures and anesthetic risks can be prevented by conservative treatment methods in patients with definitive diagnoses

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