Acute abdomen is one of the most common presentations in the emergency department, and sometimes it is challenging to find a specific cause of the abdominal pain without advanced imaging. Omental infarction is one of the causes of abdominal pain that can be missed without imaging as its clinical features are similar to other causes of abdominal pain. Due to the rarity of omental infarction, some patients have no complete understanding of their disease and they need more explanation from their family physician. This article aims to mention the importance of post hospitalization follow up for omental infarction patients. Also, we are trying to draw the attention of emergency physicians about considering omental infarction as one of the causes of acute abdominal pain. Omental infarction can be treated conservatively or surgically with a success rate of 84.3% for conservative options. Young male with white cell counts greater than 12000 had a high rate of conservative management failure, but our patient was having WCC of 16000 at presentation and conservative treatment was successful for his condition.
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