Greater Omentum Abscess Revealing an Upper Genital Infection

TL;DR

A case report shows an upper genital infection revealed by an abscess in the greater omentum, diagnosed using imaging and bacterial testing.

Contribution

This case introduces an upper genital infection as a new cause of epiploic abscesses.

Findings

An upper genital infection was identified as the source of a greater omentum abscess.

The same bacteria, Parvimonas micra, were found in both the abscess and endocervical swabs.

This case expands the known causes of epiploic abscesses beyond infarction.

Abstract

In this clinical case, we report an upper genital infection revealed on Computed Tomography by a greater omentum abscess. The infection was confirmed by endocervical swabs and ultrasound-guided sampling of the epiploic abscess, which found the same bacteria (Parvimonas micra). Omental absecesses are most often secondary to spontaneous or post-operative infarction of the greater omentum, and this observation provides a new cause for epiploic abscesses.

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