Table 1 Reports of idiopathic omental hemorrhage
From: Idiopathic omental hemorrhage: a case report and review of the literature
First author | Year | Age (years) | Sex | Chief complaint | Past medical history | Anticoagulant use | Diagnostic procedure | Preoperative diagnosis | Therapy | Site of bleeding |
|---|---|---|---|---|---|---|---|---|---|---|
Yuhang Zhou | 2022 | 22 | M | Abdominal pain (upper), dizziness, palpitations, amaurosis, cold sweats | Not mentioned | None | CT + contrast Abdominal paracentesis MRI + contrast Gastroscopy EUS | Intraperitoneal hemorrhage | Conservative | Upper (AVM) |
Claire M. McClintock | 2022 | 72 | M | Death (with history of dyspepsia) | Metastatic prostatic carcinoma, IHD, HTN, CKD, and AF | NM | CT + contrast | Intraperitoneal hemorrhage | Autopsy | RUQ (pseudo/aneurysm) |
Houcine Maghrebi | 2022 | 68 | M | Abdominal pain | HTN, HF | None | CT + contrast Angiography | Omental artery aneurysms | Angioembolization | Left gastroepiploic artery (aneurysms) |
K Furukawa | 2021 | 56 | M | Abdominal pain (RUQ) | None | None | CT + contrast | Omental hemorrhage | Angioembolization | RUQ (gastroduodenal artery) |
Shoryu Takayama | 2021 | 53 | F | Abdominal pain (RUQ) | Rheumatoid arthritis, appendicectomy cesarean section | None | CT + contrast | Omental hemorrhage | Laparoscopy partial omentectomy | RUQ |
Heather K. Moriarty | 2020 | 60 | M | Faint, epigastric pain | Hemophilia B, Hepatitis C, previous intraabdominal idiopathic bleed (conservative) | None | CT angiography | Greater omental artery aneurysm | Angioembolization | Greater omental (upper) |
Heather K. Moriarty | 2020 | 37 | M | Faint, abdominal pain | HTN, GERD | NM | CT + contrast | Omental hemorrhage | Laparotomy + bleeding site ligation | Greater omentum at the greater curve |
Heather K. Moriarty | 2020 | 69 | F | Abdominal pain | Paroxysmal arterial fibrillation, HTN, cardiac failure, mitral valve repair | Apixaban | Angiography | Gastroduodenal artery aneurysm | Angioembolization | Gastroduodenal artery |
J. Viñas | 2020 | 66 | M | Abdominal pain, decrease in consciousness, and hypotension | Bentall–De Bono surgery, hypertension, SARS-CoV-2 pneumonia | Enoxaparin | CT + contrast Angiography | Omental hemorrhage | Angioembolization Laparotomy partial omentectomy | Right gastroepiploic (pseudoaneurysm) |
Yun-Xiao Lyu | 2018 | 58 | M | Abdominal pain (LUQ) | None | None | CT + contrast/abdominocentesis | Omental hemorrhage | Laparotomy partial omentectomy | LUQ (AVM) |
Yen-Hung Wu | 2017 | 35 | M | Abdominal pain (LUQ) | None | None | CT + contrast | Omental hemorrhage | Laparotomy + bleeding site ligation | LUQ |
Jiro Kimura | 2016 | 29 | M | Abdominal pain (LUQ) | None | None | CT + contrast | Omental hemorrhage | Laparotomy partial omentectomy | LUQ (right gastroepiploic) |
Toshimitsu Hosotani | 2016 | 38 | F | Vomiting, diarrhea, abdominal pain (LLQ) | Appendectomy | None | CT + contrast TVS Culdocentesis | Omental hemorrhage | Laparoscopy partial omentectomy | LLQ |
Zhang Zhong Tao | 2015 | 73 | F | Abdominal pain, abdominal discomfort, nausea, and vomiting | None | None | CXR, CT + contrast | Omental hemorrhage | Laparotomy + bleeding site ligation | Upper, lesser omentum |