Encapsulated fat necrosis can be can be found in the abdominal cavity and other parts of the body. It can be the cause of abdominal pain. We present a case of a patient with two encapsulated fat necrosis intra-abdominal in a patient with a history of three caesarean sections who consulted for abdominal pain. Encapsulated fat necrosis intraabdominal is thought to result from a traumatic or ischemic insult that causes degeneration of intra-abdominal fat tissues; in turn, the necrotic fatty tissue organizes within a thin or thick fibrous capsule. Encapsulated fat necrosis is most often follows exploratory laparotomies can be discovered by incidentally or during an exploratory laparoscopy

A 56-year-old patient was admitted in consultation for chronic and intermittent abdominal pain. The patient described no changes in bowel habits, or weight loss. Previously was treated by the general practitioner with antalgics and antispasmodic with persistence of the abdominal pain. The medical history reveals one caesarean operation.

On the physical examination there was no abdominal tenderness, palpable mass, and the digital rectal examination was also normal. Laboratory findings were within the normal limits. Chest x-ray and electrocardiogram (ECG) were normal. Abdominal Magnetic Resonance Imaging (MRI) revealed two oval structures well delimited with fatty and linear calcium content on the right pelvic area (22 × 16 mm) and at the level of the right flank (22 × 15 mm)

Symptomatic free intra-abdominal encapsulated fat necrosis is a rare condition. It may be discovered incidentally on imagery assessment for abdominal pain or during a surgical intervention. Non-specific and misleading symptoms and signs may delay the diagnosis. Surgical treatment can be performed if the symptomatology occurs.

Thanks and Regards,

Alpine

Associate Editor

Journal of Clinical Trials

clinicaltrials@eclinicalsci.com