Alfie Kavalakat, Westfort Hospital, Thrissur, Kerala, India.
10 February 2009
It is an interesting association which you have reported. Through a limited right iliac fossa incision when the appendix is found to be inflamed, the omental infarction is likely to be missed. You could identify both since you went through a right para-rectal incision. But I wonder why you went through a right para-rectal incision in the absence of generalized peritonitis.
We agree with your comment that omental infarction is more common than usually thought of. More cases are being reported now. We feel that this is because of the increasing popularity of laparoscopy¹.
1. Kavalakat AJ, Varghese CJ. Laparoscopic management of an uncommon cause for right lower quadrant pain: a case report. Cases J. 2008 Sep 19;1(1):164.
World Journal of Emergency Surgery
Interesting Association
10 February 2009
It is an interesting association which you have reported. Through a limited right iliac fossa incision when the appendix is found to be inflamed, the omental infarction is likely to be missed. You could identify both since you went through a right para-rectal incision. But I wonder why you went through a right para-rectal incision in the absence of generalized peritonitis.
We agree with your comment that omental infarction is more common than usually thought of. More cases are being reported now. We feel that this is because of the increasing popularity of laparoscopy¹.
1. Kavalakat AJ, Varghese CJ. Laparoscopic management of an uncommon cause for right lower quadrant pain: a case report. Cases J. 2008 Sep 19;1(1):164.
Competing interests
None declared