Congenital absence of omentum with short bowel syndrome: a case report

Introduction Short bowel syndrome can manifest as either an inherited or acquired condition, with the inherited form occurring sporadically. Furthermore, the complete absence of the omentum at birth (congenital absence) is a highly uncommon event. Case report This case report presents a unique confl...

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Bibliographic Details
Published in:Journal of medical case reports Vol. 19; no. 1; pp. 161 - 5
Main Authors: Naderian, Ramtin, Feyzabadi, Zahra Khatibian, Bahoush, Paniz, Sanami, Samira, Khatami, Mir Siamak
Format: Journal Article
Language:English
Published: London BioMed Central 05.04.2025
BioMed Central Ltd
BMC
Subjects:
Adult
Case Report
Colectomy - adverse effects
Congenital absence of omentum
Family Medicine
General Practice
Genetic disorders
Humans
Ileostomy - adverse effects
Inflammatory bowel disease
Internal Medicine
Intestinal adaptation
Malabsorption syndromes
Male
Medicine
Medicine & Public Health
Omentum - abnormalities
Omentum - surgery
Primary Care Medicine
Public Health
Short bowel syndrome (SBS)
Short Bowel Syndrome - complications
Short Bowel Syndrome - surgery
Surgical Oncology
Inflammatory bowel disease
Intestinal adaptation
Short bowel syndrome (SBS)
Congenital absence of omentum
ISSN:1752-1947, 1752-1947
Online Access:Get full text
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Summary:Introduction Short bowel syndrome can manifest as either an inherited or acquired condition, with the inherited form occurring sporadically. Furthermore, the complete absence of the omentum at birth (congenital absence) is a highly uncommon event. Case report This case report presents a unique confluence of these rare conditions in a 38-year-old Iranian male with a prior history of intestinal obstruction requiring right hemicolectomy and ileostomy. He subsequently presented to the emergency department experiencing intense abdominal pain and swelling in his lower extremities. Laboratory investigations revealed an elevated white blood cell count and metabolic alkalosis. During the surgical exploration prompted by his acute presentation, both congenital absence of the omentum and short bowel syndrome were confirmed. A jejunostomy was performed, but unfortunately, this intervention resulted in severe malabsorption and subsequent cachexia. This case sheds light on the rare occurrence of anastomotic leakage and subsequent peritonitis following right hemicolectomy and ileostomy in a patient with the combined conditions of congenital short bowel and congenital absence of the omentum. Conclusion This unique presentation highlights the potential complexities that can arise due to the convergence of these rare medical conditions.
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ISSN:1752-1947
1752-1947
DOI:10.1186/s13256-025-05205-2