Omentum torsion is a rare cause of acute abdomen. Omentum torsion generally takes place on the right side and clinically mimics appendicitis, so for this reason omentum torsion is generally diagnosed by laparatomy carried out for appendicitis. For differential diagnosis from appendicitis it is important that pain starts suddenly after a heavy meal or hard exercise in omentum torsion and also pain is not accompanied with nausea, vomiting and anorexia. A 54 year-old female patient with suspected appendicitis was operated on and a right paramedian incision was employed. Primary omentum torsion was diagnosed and the infarcted tissue resected. We suggest that in cases where acute appendicitis is uncertain omentum torsion and other pathologies must be considered. In these cases a paramedian incision and diagnostic laparascopy may provide benefit for diagnosis. Keywords: Omentum torsion, acute appendicitisReceived: 12.01.2011Accepted: 09.02.2011 ÖZETOmentum torsiyonu oldukça nadir görülen bir akut karın nedenidir. Omentum torsiyonu sıklıkla sağda olması ve kliniğinin akut apandisite benzer olması nedeni ile sıklıkla akut apandisit nedeni ile yapılan laparatomide tanı almaktadır. Ancak ağrının sıklıkla aşırı yemek, ani hareket veya ağır egzersizi takiben birden başlaması ve bulantı, kusma, iştahsızlığın genelde eşlik etmemesi apandisitten ayırıcı tanıda önem arz eder. Bizde akut apandisit kliniği şüpheli olan 54 yaşında bayan olgu sağ paramedian kesi ile opere edildi ve primer omentum torsiyonu tanısı konarak torsiyone segment rezeke edildi. Akut apandisit kliniği şüpheli olan olgularda omentum torsiyonu ve benzeri patolojiler olabileceği düşünülerek paramedian kesi, diagnostik laparoskopi gibi alternatiflerin göz önünde bulundurulmasının faydalı olacağını düşün-mekteyiz. Anahtar Kelimeler: Omentum torsiyonu, akut apandisitBaşvuru Tarihi: 12.01.2011
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