Case of Idiopathic Omental Hematoma Resection

Abstract

We report a rare case of idiopathic omental hematoma with some literature review. A 60-year-old man visited our hospital complaining of sudden abdominal pain. Abdominal ultrasonography and computed tomography revealed a omental hematoma. Angiography showed findings suggestive of the bleeding from a branch of the right gastroepiploic artery. Embolization was attempted, but abandoned due to the technical difficulties, therefore surgery was performed. Laparotomy showed a massive hematoma in the omentum. After the hematoma was removed, active bleeding from a branch of the right gastroepiploic artery was identified and was controlled with ligation. Although re-hospitalization was required due to intestinal obstruction, conservative treatment was performed and the patient was discharged from the hospital 64 days after the operation.