Primary segmental infarction of the greater omentum: A rare cause of RLQ syndrome: Laparoscopic resection

The authors report a rare case of a patient with a primary segmental infarc tion of the greater omentum who reported acute abdominal pain, Despite preo perative clinical studies and imaging evaluation, an etiologic diagnosis co uld not be determined. The diagnosis of this uncommon disease was determine d after initial laparoscopic exploration. A laparoscopic resection was perf ormed. The patient had an uneventful recovery and was discharged within 12 hours. The differential diagnosis of the right lower quadrant syndrome incl udes several disorders, of which the primary segmental infarction of the gr eater omentum is not frequent. The authors emphasize the usefulness of rout ine laparoscopic exploration in patients with RLQ syndrome because it adds the possibility of mini-invasive treatment to the initial diagnosis.