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May 1971

Idiopathic Segmental Infarction of the Greater Omentum

Author Affiliations

Springfield, Mass

Arch Surg. 1971;102(5):474-475. doi:10.1001/archsurg.1971.01350050040013

Idiopathic segmental infarction of the greater omentum is an uncommon but not rare cause of acute abdominal pain. A preoperative diagnosis of acute appendicitis or cholecystitis is usually made. Ten patients with this disease were treated by omental resection with no deaths and minimal morbidity. We have postulated that this lesion, usually found in a fat-gaining middle age group, may be produced by a disproportionate overgrowth of fat tissue, leading to multiplication ischemia and necrosis.