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November 1960

Apoplexy of the Lesser Omentum

Arch Intern Med. 1960;106(5):634-638. doi:10.1001/archinte.1960.03820050046009

Judging from a survey of the literature, affections of the lesser omentum are exceedingly rare. However, within a few years two patients with localized apoplexy of the lesser omentum were seen in a small general hospital. In each instance the development of symptoms was relatively acute and simulated acute cholecystitis or perforating peptic ulcer. In these two patients the symptomatology was sufficiently distinctive to warrant documentation. The diagnosis was not made preoperatively, and even at operation the condition was not recognized. One of the patients was erroneously reported in the literature as having a perforated diverticulum of the stomach.1

A careful survey of the available literature did not reveal exactly similar cases. Two case reports were found in the literature in which the pathological findings have a superficial resemblance to those found in our patients.2,3 In each instance there was a twist of a tab of the lesser