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báo cáo khoa học: "Omental infarction in the postpartum period: a case report and a review of the literature"
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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Omental infarction in the postpartum period: a case report and a review of the literature | Tachezy et al. Journal of Medical Case Reports 2010 4 368 http www.jmedicalcasereports.eom content 4 1 368 jAl JOURNALOF medical ÌỤr case REPORTS CASE REPORT Open Access Omental infarction in the postpartum period a case report and a review of the literature 1 1 1 2 11 Michael Tachezy Rainer Groteluschen Florian Gebauer Andreas H Marx Jakob R Izbicki Jussuf T Kaifi Abstract Introduction Omental infarction is a rare and often misdiagnosed clinical event with unspecific symptoms. It affects predominantly young and middle aged women. Case presentation This is a case report of a 26-year-old Caucasian woman with spontaneous omental infarction two weeks after normal vaginal delivery. Conclusion Omental infarction is a differential diagnosis in the postpartum acute abdomen. As some cases of omental infarction which are caused by torsion can be adequately diagnosed via computed tomography a conservative treatment strategy for patients without complications should be considered in order to avoid any unnecessary surgical intervention. Introduction Omental infarction is a rare clinical event that affects predominantly young and middle aged women 1 . It is usually caused by omental torsion but the reasons for this remains poorly understood. Omental infarction was first reported in 1882 by Oberst 2 . Patients present symptoms of an acute abdomen. The clinical findings are very unspecific and therefore in most cases it is surgical exploration that leads to the diagnosis. This report highlights the case of a spontaneous omental infarction in a young woman in the postpartum period. Case presentation A 26-year-old Caucasian woman presented with a five day history of increasing epigastric pain and nausea two we eks after the vaginal delivery of a healthy child of normal weight and size. Physical examination revealed a normal peristalsis and supraumbilical tenderness. A small umbilical hernia 1 cm diameter with no signs of incarceration was described by the initial examining .