Laparoscopic approach for idiopathic segmental infarction of the greater omentum.

Idiopathic segmental infarction of the greater omentum is an uncommon condition that should be considered in the differential diagnosis of right-side abdominal pain. The case presented concerns a 40-year old woman admitted with right flank pain. Computed tomography scan of the abdomen showed the characteristic features of greater omentum infarction. Given worsening symptoms under conservative treatment, the patient underwent a laparoscopy with resection of the necrotic portion of the greater omentum. Segmental infarction of the greater omentum is usually treated conservatively. Nevertheless, surgical intervention may be necessary in order to establish definitive diagnosis and treatment. In this respect, laparoscopic approach offers substantial advantages for the patients while permitting definitive diagnosis and treatment.