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ISSN 2594-1518 (Electronic)
ISSN 1405-0099 (Print)

2017, Number 3

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Cir Gen 2017; 39 (3)

Omental torsion: a rare cause of recurrent abdominal pain

Bizueto-Monroy JL, Montoya-Pérez BI, Saldaña-Torres F

Language: Spanish
References: 12
Page: 171-174
PDF size: 187.95 Kb.


ABSTRACT

Introduction: Torsion of the greater omentum is a condition in which a pedicle twists on its axis and produces inflammation by contiguity that can mimic the clinical symptoms and signs of acute appendicitis and may lead to a misdiagnosis if it is not clinically suspected. Method: We present a case of a primary torsion of the greater omentum; we emphasize the clinical presentation and different criteria of medical or surgical approach. Case report: We report the case of a patient with a history of more than two weeks of abdominal pain similar to peptic ulcer disease and multiple Emergency Department visits; the symptomatology progressively intensified, so the decision was made to perform laparoscopic surgical exploration that revealed omental torsion, which appeared to have twisted on its pedicle; it was resected, with a rapid and uneventful recovery. Conclusion: Omental torsion is rare; however, the knowledge of this pathology is important to the surgeon because it mimics the common causes of surgical abdomen. Laparoscopic resection is an excellent alternative method of treatment.


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