Non‐operative management of primary omental torsion, a case report and literature review

Abstract

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Torsion of the Greater Omentum: A Mimicker of Acute Appendicitis

“…A previous study reported that although torsion of the omentum was treatable non-operatively, symptoms may improve 12-120 hours after non-operative management of a primary omental torsion [3]. Furthermore, in most cases, it can take more than three days [3]. In our case, severe abdominal pain continued for two days with enough analgesia without fever.…”

“…Moreover, laparoscopic omentectomy is feasible when abdominal pain is severe or uncontrollable with enough analgesia. In fact, there are operative or non-operative treatment options [3,4]. A previous study reported that although torsion of the omentum was treatable non-operatively, symptoms may improve 12-120 hours after non-operative management of a primary omental torsion [3].…”

“…In fact, there are operative or non-operative treatment options [3,4]. A previous study reported that although torsion of the omentum was treatable non-operatively, symptoms may improve 12-120 hours after non-operative management of a primary omental torsion [3]. Furthermore, in most cases, it can take more than three days [3].…”

Abordaje Farmacológico y Quirúrgico en la Torsión Omental

“…Los síntomas de la torsión omental suelen incluir dolor abdominal agudo, sensibilidad y distensión. Aunque es una condición poco común, la torsión omental requiere atención médica inmediata para evitar complicaciones graves (Foula et al, 2021). El tratamiento definitivo es quirúrgico, sin embargo, el tratamiento farmacológico para el manejo del dolor es fundamental.…”

“…Al noveno día se le dio el alta. Foula et al (2021) indicaron el manejo conservador en un paciente de 18 años con torsión omental. El manejo conservador se basó en nada por vía oral, líquidos intravenosos, analgesia, antibióticos profilácticos intravenosos e inhibidores de la bomba de protones.…”