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Secondary Omental Infarction in a Patient with a Hypercoagulable State
  1. Mohammed Alshehri1,2,
  2. Hisham Khalifa2,3,
  3. Abdulhadi Alqahtani4,
  4. Mohammad Aburahmah2
  1. 1Department of Surgery, Alfaisal University College of Medicine, Riyadh, Saudi Arabia
  2. 2Department of Surgery, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
  3. 3Department of Surgery, National Cancer Institute (NCI) - Cairo University, Cairo, Egypt
  4. 4Department of Medicine, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
  1. Correspondence to Dr Mohammed Alshehri, mamalshehri{at}


Omental infarction is a rare cause of acute and non-specific abdominal pain. We report a case of a 46-year-old man who presented to the emergency room with right upper quadrant cramping pain that was of sudden onset. The patient’s presentation was later diagnosed as an omental infarction, by an abdominal CT. After extensive work-up, it was revealed that the cause of the patient’s omental infarction was secondary to a hypercoagulable state caused by antiphospholipid syndrome, based on his thrombophilia work-up. The patient was successfully managed conservatively and was started on lifelong anticoagulation. The patient was followed up with an abdominal CT after 2 months into therapy, which showed a decrease in the size of the omental infarction and a significant improvement in his state.

  • surgery
  • general surgery
  • medical management

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  • Contributors MAl: collected information pertaining to the case, reviewed the medical literature and completed the initial draft of the manuscript. HK: edited the draft, verified the literature review and was involved in patient management. AA: provided some inputs to the discussion. MAb: was involved in patient management.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.