急腹症患者需警惕网膜梗死:1例腹腔镜手术成功治疗网膜梗死的病例报告

Omental infarction should be vigilant in patients with acute abdomen:a case report of successful laparoscopic treatment of omental infarction

网膜梗死是急腹症中较为少见的病因之一,因其非特异性的腹部体征,容易与其他腹腔相关疾病混淆,术前明确诊断具有一定的挑战性。本文报告了1例51岁女性患者,因右上腹胀痛伴炎症指标升高就诊,入院后鉴于患者右上腹体征较重行腹腔镜手术治疗。术中发现患者小网膜梗死呈紫黑色坏死,且术后病理证实网膜梗死。患者术后恢复较快,术后2天顺利出院,回诊随访无异常。该病例反映出网膜梗死作为急腹症鉴别诊断的重要性,对于腹部体征较重且炎症指标较高的患者,建议行腹腔镜手术治疗。

Omental infarction is one of the rare causes of acute abdomen.Because of its non-specific abdominal signs,it is easy to be confused with other peritoneal diseases,posing a certain challenge for preoperative diagnosis.We reported a 51-year-old female patient who was treated for right upper abdominal distending pain with elevated inflammatory indicators,and underwent laparoscopic surgery after admission in view of the patient's right upper abdominal signs.During the operation,purplish black necrosis was found in the minor omental infarction of the patient,and the postoperative pathology confirmed the omental infarction.The patient recovered quickly after surgery and was discharged successfully 2 days after surgery.This case reflects the importance of omental infarction as a differential diagnosis of acute abdomen,and laparoscopic surgery is recommended for patients with severe abdominal signs and high inflammatory indicators.