Omental Infarction due to Omental Torsion

Case Reports in Surgery
Hideki KatagiriKuniaki Kojima

Abstract

Omental torsion is a rare cause of acute abdomen and sometimes requires surgery. Recently, we encountered a case of omental torsion diagnosed as omental infarction preoperatively. An 18-year-old male presented to our emergency room with a chief complaint of lower abdominal pain since previous 2 days. Because of his history of Down syndrome, an abdominal examination was very difficult. Plain abdominal computed tomography (CT) suggested omental hernia adhering to the right paracolic gutters. Two days after hospital admission, symptoms did not improve, and contrast-enhanced abdominal CT suggested omental infarction. We performed an emergency surgery. Upon exploration of the abdominal cavity, the greater omentum was found to be twisted four times and adhered to the right paracolic gutters. We performed a partial omentectomy. He was discharged 9 days after the surgery. There was no cause of omental torsion in the abdominal cavity, and he was diagnosed as having idiopathic omental torsion. In cases wherein the cause of acute abdomen cannot be detected, omental torsion should be considered, and abdominal CT could be helpful for the diagnosis.

References

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Sep 9, 2006·Radiation Medicine·Noriaki SakamotoKazuro Sugimura
Jan 8, 2008·Internal Medicine·El Kharras AbdennasserBenameur Mohamed
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Nov 24, 2011·World Journal of Gastrointestinal Surgery·Stefano ScabiniValter Ferrando

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Citations

Dec 26, 2015·The American Journal of Emergency Medicine·Allison RusgoJeanne L Jacoby
Dec 30, 2014·The American Journal of Emergency Medicine·Megan Litzau, Michelle D Lall
Oct 26, 2016·La Presse médicale·Jenny TannouryBassam Abboud
Mar 13, 2021·Case Reports in Surgery·Alin MihețiuCristina Mihețiu

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Methods Mentioned

BETA
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