Primary segmental infarction of the greater omentum

Along with the presentation of another patient, we have reviewed a total of 146 cases of primary [idiopathic] segmental infarction of the greater omentum. The clinical findings, possible etiology and new ways to diagnose this clinical entity are described. Spontaneous infarction of the greater omentum may occur more often than is suspected. Surgeons rarely mention the appearance of the omentum in their operative notes. It seems reasonable, therefore, to propose that whenever a patient is operated upon for acute appendicitis and a normal appendix is found, a thorough inspection be made of the omentum