Acute Abdomen Due to Primary Omental Torsion: Case Report

Tsironis, Apostolos; Zikos, Nikolaos; Bali, Christina; Pappas-Gogos, George; Koulas, Spiridon; Katsamakis, Nikolaos

doi:10.1016/j.jemermed.2011.06.066

Cited by 23 publications

(37 citation statements)

References 31 publications

(31 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[8] Omental torsion is primarily seen in the 30-50-year age group, with male predominance. [1,9] However, a few cases have been reported in children. [10] Estimated incidence of primary omental torsion in children undergoing surgery for suspected appendicitis ranges between 0.024-0.1%.…”

Section: Discussionmentioning

confidence: 99%

“…[10] Estimated incidence of primary omental torsion in children undergoing surgery for suspected appendicitis ranges between 0.024-0.1%. [9,11] Omental torsion is classified as primary or secondary, the latter being far more common. [8] Primary or idiopathic torsion is a rare condition, occurring in the absence of associated or secondary intraabdominal pathology.…”

Section: Discussionmentioning

confidence: 99%

“…Differential diagnosis should include acute appendicitis, cholecystitis, cecal diverticulitis, perforated duodenal ulcer, abdominal wall hematoma, and intestinal obstruction. [9,23] In women of reproductive age, salpingitis, ovarian cyst torsion, and ectopic pregnancy should also be considered. In children, differential diagnosis should also include inflammation of the Meckel's diverticulum, as well as mesenteric adenitis.…”

Section: (A) (B)mentioning

confidence: 99%

“…In children, differential diagnosis should also include inflammation of the Meckel's diverticulum, as well as mesenteric adenitis. [9] Finally, torsion of accessory spleen is another diagnostic possibility, as an accessory spleen, when present, usually resides inside the omentum.…”

Section: (A) (B)mentioning

confidence: 99%

See 3 more Smart Citations

Acute abdomen caused by greater omentum torsion: a case report and review of the literature

Cremonini

Bertolucci

Tartaglia

et al. 2015

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

Torsion of the greater omentum is a rare cause of acute abdomen. Based on etiopathogenesis, it can be classified as primary or secondary. However, regardless of the cause, segmentary or diffuse omental necrosis will follow. Preoperative diagnosis is not easy, though abdominal ultrasound and computed tomography (CT) scans may show peculiar features suggestive of omental torsion. Laparoscopic resection of the affected omentum is the treatment of choice. Presently reported was a case of primary omental torsion, in addition to a comprehensive literature review.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: (A) (B)mentioning

confidence: 99%

Section: (A) (B)mentioning

confidence: 99%

See 2 more Smart Citations

Acute abdomen caused by greater omentum torsion: a case report and review of the literature

Cremonini

Bertolucci

Tartaglia

et al. 2015

Ulus Travma Acil Cerrahi Derg

View full text Add to dashboard Cite

show abstract

“…Hastalığın geç dönem komplikasyonları ise abse, adezyon ve sepsisdir. Klinik özellikleri ve laboratuar bulguları bakımından akut apandisite çok benzediği için çocukluk çağında, preoperatif tanı koymak zordur (3,4). Bu yüzden tanı, çoğu zaman laparatomi esnasında konulur.…”

Section: Introductionunclassified

Akut apandisiti taklit eden primer omentum torsiyonu

Sarsu¹,

Şahin²,

Almahli³

2016

Ege Tıp Dergisi

View full text Add to dashboard Cite

ÖzPrimer omentum torsiyonu (POT), genellikle obez erkeklerde rastlanılan akut batının az görülen bir nedenidir. Çocukluk döneminde çok nadir karşılaşılan bu durum, akut apandisite çok benzediği için preoperatif tanı koymak zordur. Bu yazıda, iki günden bu yana devam eden karın ağrısı, ateş ve kusma nedeniyle hastaneye başvuran 11 yaşında bir erkek çocuğu sunulmaktadır. Fizik muayenede, sağ alt kadranda hassasiyet mevcuttu. Beyaz küredeki yükselme dışında, ayakta direk batın grafisi ve karın ultrasonografisinde özellik yoktu. Apandisit ön tanısı ile sağ alt kadrana yapılan transvers kesi ile yapılan laparotomide, apendiksin normal olduğu ancak sağ iliak fossada omentumun dönmüş olduğu tespit edildi. Batın içi serbest sıvı dışında başka bir patolojik patolojinin olmadığı tespit edildikten sonra hastaya apendektomi ve omentektomi yapıldı. Postoperatif komplikasyon yaşanmadı. Her ne kadar nadir rastlanan bir durum olsa da, akut apandisit için laparotomi yapılan hastalarda, apendiks normal ise, omentum torsiyonu olabileceği göz ardı edilmemelidir.Anahtar Sözcükler: Primer omentum torsiyonu, akut apandisit, çocuklar. Abstract Primary omental torsion (POT) is a rare cause of acute abdomen usually seen in the obese men. It is very rarely seen in the childhood, and as it mimicks acute appendicitis

show abstract