SECONDARY OMENTAL INFARCTION DUE TO DUODENAL PERFORATION

Omental infarction is a rare cause of acute abdomen in adult [1]. Omental infarction is classified as primary when there is no coexisting causative condition identified or secondary when there is association with causative condition. Omental infarction more common in male compared to female and frequently occurs in fourth or fifth decade of life. Case report: This is a case report of 45years old male who is chronic alcoholic presented with features of hollow viscus perforation. Intra operative findings show secondary Omental infarction due to duodenal perforation. In most of Omental infarction cases was misdiagnosed. But proper radiological investigations with diagnostic laproscopy improve diagnostic accuracy. High index of suspicion is needed for diagnosis of Omental infarction. Secondary Omental infarction has poor prognosis compared to primary Omental infarction due to underlying disease pathology. Management of omental infarction by either conservative or surgical management by patient presentation or radiological findings. Secondary Omental infarction due to hollow viscus perforation is a dangerous combination, because loss of omentum allow localized pathology to become generalized peritonitis with higher morbidity with mortality. So early recognition and prompt treatment reduces complications.