Entrar/Registro  
HOME SPANISH
 
Cirujano General
   
MENU

Contents by Year, Volume and Issue

Table of Contents

General Information

Instructions for Authors

Message to Editor

Editorial Board






>Journals >Cirujano General >Year 2017, Issue 3


Bizueto-Monroy JL, Montoya-Pérez BI, Saldaña-Torres F
Omental torsion: a rare cause of recurrent abdominal pain
Cir Gen 2017; 39 (3)

Language: Español
References: 12
Page: 171-174
PDF: 4. Kb.


Full text




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.


Key words: Abdominal pain, omentum, computed tomography.


REFERENCIAS

  1. Eitel GG. Rare omental torsion. New York Rec. 1899; 55: 715-716.

  2. Tsironis A, Zikos N, Bali C, Pappas-Gogos G, Koulas S, Katsamakis N. Acute abdomen due to primary omental torsion: case report. J Emer Med. 2011; 79: e55-e58.

  3. Andreuccetti J, Ceribelli C, Manto O, Chiaretti, Negro P, Tuscano D. Primary omental torsion (POT): a review of literature and case report. World J Emerg Surg. 2011; 6: 6.

  4. Benaghmouch F, Aalala EM, Hrora A, Benamer A, Sabbah F, Ahallat M et al. Acute abdomen for omental torsion. European J Radiol Extra. 2011; 79: e55-e57.

  5. García E, Robles P. Torsión omental secundaria a hernia inguinal. Radiología. 2015; 2: 173-178.

  6. Abidin AZ, Rahmat K, Aziz A. Right-sided omental torsion associated with inguinal hernia: CT imaging features. European J Radiol Extra. 2007; 64: 23-25.

  7. Chew KD, Holgersen LO, Friedman D. Primary omental torsion in children. J Ped Surg. 1995; 30: 816-817.

  8. Nubi A, McBride W, Stringel G. Primary omental infarct: conservative vs operative management in the era of ultrasound, computerized tomography, and laparoscopy. J Ped Surg. 2009; 44: 953-956.

  9. Lee RK-I, Chu WC-w. Omental torsion in children successfully treated by conservative treatment based on radiological diagnosis. Eur J Radiol Extra. 2010; 75: e75-e77.

  10. Hsu BC-H, Chou DA. Primary idiophatic segmental infarction of the greater omentum. FJS. 2011; 44: 233-236.

  11. Abe T, Kajiyama K, Harimoto N, Gion T, Nagaie T. Laparoscopic omentectomy for preoperative diagnosis of torsion of the greater omentum. Int J Surg Case Rep. 2012; 3: 100-102.

  12. Barai KP, Knight BC. Diagnosis and management of idiopathic omental infarction: a case report. Int J Surg Case Rep. 2011; 2: 138-140.






>Journals >Cirujano General >Year 2017, Issue 3
 

· Journal Index 
· Links 






       
Copyright 2019