Entzündliche Erkrankungen des großen Netzes - eine schwierige präoperative Differenzialdiagnose

Knoop, M.; T, Vorwerk

doi:10.1055/s-2002-32850

Cited by 9 publications

(5 citation statements)

References 4 publications

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“…Laboratory tests often suggest leukocytosis, elevated C-reactive protein levels, and an elevated erythrocyte sedimentation rate. [14] Laboratory test results are also nonspecific and cannot differentiate other abdominal disorders. Therefore, relying on laboratory test results may delay diagnosis and lead to an increase in the degree and severity of omental torsion.…”

Section: Discussionmentioning

confidence: 99%

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Acute abdomen caused by torsion of the omentum

Wang

Huang

et al. 2022

Medicine

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Rationale:Torsion of the omentum and infarction are rare and unusual disorders that often present as acute abdominal pain in the population. The diagnosis of omental torsion is based on clinical and imaging examinations.Patient concerns:A 7-year-old girl presented with acute right lower quadrant abdominal pain, with symptoms resembling acute appendicitis.Diagnosis:The patient was diagnosed with omental torsion based on imaging and laparoscopy.Interventions:Laparoscopic exploration was performed.Outcomes:The patient was discharged seven days after satisfactory postoperative recovery.Lessons:Omental torsion should be included in the differential diagnosis of acute abdominal pain, particularly in patients with free hemorrhagic fluid in the abdominal cavity and pelvis.

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Section: Discussionmentioning

confidence: 99%

“…Therefore, it is difficult to accurately diagnose omental torsion preoperatively. Laboratory tests often suggest leukocytosis, elevated C-reactive protein levels, and an elevated erythrocyte sedimentation rate [14] . Laboratory test results are also nonspecific and cannot differentiate other abdominal disorders.…”

Section: Discussionmentioning

confidence: 99%

Acute abdomen caused by torsion of the omentum

Wang

Huang

et al. 2022

Medicine

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“…Leukocytosis with increased levels of C-reactive protein of the plasma and elevated erythrocyte sedimentation rate are nearly always present [ 2 , 24 ], while fever is a less constant sign. An abdominal X-ray is nonspecific in most cases of omental torsion [ 25 ].…”

Section: Discussionmentioning

confidence: 99%

Torsion of the greater omentum: two case reports

et al. 2015

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IntroductionTorsion of the omentum is a benign self-limiting disorder, which is difficult to diagnose because the main symptoms are similar to those of other abdominal diseases. Most of the published cases had been diagnosed during operation via direct eye view. According to several studies, it is important that the correct preoperative diagnosis is made as omental torsion can be treated conservatively in most cases without any complications avoiding surgical intervention. However, patients should be under clinical and laboratory observation in order to detect symptoms that would lead to surgical intervention in which case a laparoscopy is the appropriate surgical treatment.Case presentationTorsion of the great omentum is a rare cause of acute abdominal pain which is usually misdiagnosed. In this study we report two cases, a 52-year-old Greek woman and a 68-year-old Greek man, who presented at our emergency room with symptoms such as right lower quadrant pain and tenderness similar to acute appendicitis. In both cases a surgical exploratory laparotomy of the abdomen revealed a twisted heavily congested segment of the right part of the greater omentum accompanied by intra-abdominal serosanguinous fluid.ConclusionsGreater omental torsion is difficult to diagnose preoperatively. It presents as acute abdominal pain located more often in the right iliac fossa. It is very important to make a correct preoperative diagnosis because omental torsion is a benign self-limiting disorder that can be treated conservatively, avoiding laparotomy. When a patient’s clinical, laboratory and radiological findings worsen or diagnosis is doubtful then laparoscopy is the appropriate method for diagnosis and treatment.

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“…Torsion of the omentum is the main reason for infarction and two different forms have been described: primary torsions (without other pathologic intraabdominal findings) and secondary torsions (tumors, cysts, inflammatory changes, adhesions, hernias). Predisposing factors for torsion are anomalies of the omentum, such as a small root, irregular vascular anatomy, abdominal trauma, cough and physical strain [2]. …”

Section: Discussionmentioning

confidence: 99%

“…It is usually caused by omental torsion, but the reasons for this remains poorly understood. Omental infarction was first reported in 1882 by Oberst [2]. Patients present symptoms of an acute abdomen.…”

Section: Introductionmentioning

confidence: 99%

Omental infarction in the postpartum period: a case report and a review of the literature

et al. 2010

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IntroductionOmental infarction is a rare and often misdiagnosed clinical event with unspecific symptoms. It affects predominantly young and middle aged women.Case presentationThis is a case report of a 26-year-old Caucasian woman with spontaneous omental infarction two weeks after normal vaginal delivery.ConclusionOmental infarction is a differential diagnosis in the postpartum acute abdomen. As some cases of omental infarction, which are caused by torsion, can be adequately diagnosed via computed tomography, a conservative treatment strategy for patients without complications should be considered in order to avoid any unnecessary surgical intervention.

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Entzündliche Erkrankungen des großen Netzes - eine schwierige präoperative Differenzialdiagnose

Cited by 9 publications

References 4 publications

Acute abdomen caused by torsion of the omentum

Acute abdomen caused by torsion of the omentum

Torsion of the greater omentum: two case reports

Omental infarction in the postpartum period: a case report and a review of the literature

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