Infarto de omento, un reto diagnóstico y terapéutico: reporte de caso clínico
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Rev. Inv. Inf. Sal.
Abstract
Resumen: El reporte de caso describe un paciente con infarto omental (IO) manejado en la unidad de cuidados intensivos (UCI) del Hospital Obrero N°3 de Santa Cruz. Diversos autores han señalado que el IO es raro; lo especial de este caso radica en su presentación y manejo en un entorno de terapia intensiva, lo cual es inusual ya que el IO suele tratarse de forma conservadora. Este reporte contribuye a la literatura al documentar una posible presentación más severa o complicada de esta rara entidad, especialmente en Bolivia, donde no existen publicaciones previas. Los hallazgos clínicos incluyeron dolor abdominal agudo, cuya sospecha clínica llevó al diagnóstico, aunque no se detallan síntomas específicos en este resumen. La tomografía axial computarizada (TAC) fue crucial para identificar las características típicas del infarto omental. El diagnóstico primario fue infarto omental. El tratamiento implementado se esquematizó en la UCI, sugiriendo un manejo más intensivo que el conservador. Los resultados resaltan la importancia de considerar el IO en el diagnóstico diferencial del abdomen agudo incluso en pacientes críticos. Como lección para llevar, este informe subraya la necesidad de mantener un alto índice de sospecha para el infarto omental, incluso en presentaciones atípicas que requieren cuidados intensivos, y resalta el papel fundamental de la TAC para su diagnóstico oportuno.
Abstract: This case report describes a patient with omental infarction (OI) managed in the Intensive Care Unit (ICU) of Hospital Obrero N°3 in Santa Cruz. Several authors have pointed out that OI is rare; the unique feature of this case lies in its presentation and management in an intensive care setting, which is unusual since OI is usually treated conservatively. This report contributes to the literature by documenting a possible more severe or complicated presentation of this rare entity, especially in Bolivia, where there are no previous publications. Clinical findings included acute abdominal pain, the clinical suspicion of which led to the diagnosis, although specific symptoms are not detailed in this abstract. Computed axial tomography (CT) was crucial in identifying the typical features of omental infarction. The primary diagnosis was omental infarction. The treatment implemented was outlined in the ICU, suggesting more intensive than conservative management. The results highlight the importance of considering OI in the differential diagnosis of acute abdomen, even in critically ill patients. As a take-home lesson, this report underlines the need to maintain a high index of suspicion for omental infarction, even in atypical presentations requiring intensive care, and highlights the critical role of CT for its timely diagnosis.
Abstract: This case report describes a patient with omental infarction (OI) managed in the Intensive Care Unit (ICU) of Hospital Obrero N°3 in Santa Cruz. Several authors have pointed out that OI is rare; the unique feature of this case lies in its presentation and management in an intensive care setting, which is unusual since OI is usually treated conservatively. This report contributes to the literature by documenting a possible more severe or complicated presentation of this rare entity, especially in Bolivia, where there are no previous publications. Clinical findings included acute abdominal pain, the clinical suspicion of which led to the diagnosis, although specific symptoms are not detailed in this abstract. Computed axial tomography (CT) was crucial in identifying the typical features of omental infarction. The primary diagnosis was omental infarction. The treatment implemented was outlined in the ICU, suggesting more intensive than conservative management. The results highlight the importance of considering OI in the differential diagnosis of acute abdomen, even in critically ill patients. As a take-home lesson, this report underlines the need to maintain a high index of suspicion for omental infarction, even in atypical presentations requiring intensive care, and highlights the critical role of CT for its timely diagnosis.
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Vol. 20, No. 48