Omental infarction has been described as a rare adverse event of various abdominal surgeries, including pancreatic resection; it occasionally can lead to a walled-off omental fat necrosis (WOFN) collection. With only 1 case report describing WOFN after pancreatic resection, the incidence and appropriate management are unclear. However, a study of post–distal pancreatectomy patients found the incidence of WOFN to be much higher than previously thought, with reports of 2 presentation patterns: asymptomatic patients with incidental findings on imaging and symptomatic patients presenting with the chief symptom of abdominal pain.