ReviewAnnals of medicine and surgery (2012)2020
OMENTAL INFARCTION: SURGICAL or CONSERVATIVE TREATMENT? A CASE REPORTS and CASE SERIES SYSTEMATIC REVIEW.
Review in Annals of medicine and surgery (2012), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 32 citations in OpenAlex.
- Treatment of idiopathic segmental infarction of the greater omentum in children via transumbilical single-port laparoscopy.Translational pediatrics · 2026Article
- Case Report: Acute abdomen in pregnancy-from appendicitis to diagnosed omental infarction.Frontiers in surgery · 2026Article
- Laparoscopic primary right omental torsion: a challenging diagnosis in acute abdomen: a case report.Journal of surgical case reports · 2025Article
- A Rare Case of Idiopathic Omental Necrosis in a Young Adult: Diagnostic Challenges and Management.Medical archives (Sarajevo, Bosnia and Herzegovina) · 2025Article
- Surgical Complication of Omental Infarction in Ulcerative Colitis Following Laparoscopic Colectomy.Cureus · 2024Article
- Are all primary omental infarcts truly idiopathic? Five case reports.World journal of clinical cases · 2024Article
- Spontaneous omental infarction as a rare differential for right iliac fossa pain: A case report and review of the literature.Clinical case reports · 2024Article
- Primary omental infarction - a benign cause of acute abdomen.Pleura and peritoneum · 2024Article
- Article
- Spontaneous omental infarction in an obese young female patient treated with laparoscopy: a case report.Journal of surgical case reports · 2024Article
- Omental infarction in an overweight child: conservative treatment is a safe approach.BMJ case reports · 2023Article
- Inguinal hernia leading to omental torsion: Role of CT in differentiating from other clinical mimics - a case report and literature review.Journal of radiology case reports · 2023Review
- Omental infarction mimicking acute appendicitis with negative radiological findings.BMJ case reports · 2023Article
- Omental infarction found incidentally during metastatic workup: A report of 2 cases.Radiology case reports · 2023Article
- Omental infarction and anterior wall adhesion presenting as surgical abdomen in a pediatric patient.Clinical case reports · 2022Article
- A challenging case of spontaneous idiopathic omental infarction in a trisomy 21 patient.Annals of medicine and surgery (2012) · 2022Article
- Omental torsion at the time of COVID-19 in Northern Italy: a case report of conservative management with a review of the pertinent literature.Acta bio-medica : Atenei Parmensis · 2022Review
- Spontaneous omental infarction: A rare case of acute abdomen.SAGE open medical case reports · 2022Article
- Omental Infarction in a Child-Conservative Management as an Effective and Safe Strategy in Diagnosis and Treatment.International journal of environmental research and public health · 2021Article
- Laparoscopic Surgery for Diagnosis and Treatment of Acute Right Upper-Quadrant Abdominal Pain Due to Omental Infarction: A Report of a Rare Case in a Single Vietnamese Hospital.The American journal of case reports · 2021Article
Corrections and comments
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Authors and funding
7 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOmental infarction (OI) is an infrequent cause of acute abdominal pain and there is no consensus on whether conservative or surgical treatment is the best strategy when performing positive CT diagnosis.
objectivesTo assess which of the two treatments is the most commonly adopted and compare outcomes in terms of success rate in resolution of symptoms and hospital length of stay. ELIGIBILITY CRITERIA: Case report and case series of patients with abdominal pain and positive diagnosis by CT of omental infarction. DATA SOURCES: PubMed, Science Direct and Google Scholar in combination with cross-referencing searches and manual searches of eligible articles from January 2000 to June 2018.
participantsPatients older than 18 years of age.
methodsPatient characteristics and results were summarized descriptively. Categorical variables were assessed by chisquare test or Fischer's exact test, and continuous variables by the Wilcoxon-Mann-Whitney or Kruskal-Wallis test. Risk factors for failure of the conservative management were identified using multivariate logistic regression.
results90 articles were included in the final analysis (146 patients). 107 patients (73.3%) received conservative treatment with a failure rate of 15.9% (patients needing surgery) and 39 patients (26.7%) received surgery as first treatment. The mean hospital length of stay was 5.1 days for the conservative treatment group and 2.5 days for the surgery group with statistically significant differences (p = 0.00). Younger age and white blood cells count ≥12000/μl were predictive factors of conservative treatment failure.
conclusionsAlthough conservative treatment is effective in most patients, surgery has advantages in terms of hospital length of stay.
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