Omental torsion: a diagnostic challenge

Umale, Narayan P.; Dagwar, Ashish M.; Tiwari, Saurabh

doi:10.18203/2349-2902.isj20151104

Cited by 2 publications

(1 citation statement)

References 8 publications

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“…Finding of free serosanguineous fluid as a result of hemorrhagic extravasation is a characteristic finding which was also present in our study. 22 …”

Section: Discussionmentioning

confidence: 99%

Diagnostic challenge: Secondary omental torsion misdiagnosed as acute appendicitis—A case report

Maqbool,

Shafiq,

Ali

et al. 2024

SAGE Open Medical Case Reports

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This case presents a diagnostic challenge in a 28-year-old male initially evaluated for severe abdominal pain, vomiting, and constipation, leading to the presumption of post-appendectomy complications. Clinical examination revealed abdominal distension, tenderness, and signs of peritonism, along with a reducible inguinal hernia. On subsequent CT scan, a large, inflamed area of omentum localized to the right abdomen extending up to the defect in the inguinal region with mild ascites was revealed. Upon exploration, it was discovered that the patient’s initial surgery had focused solely on an appendix deemed mildly inflamed by the operating surgeon, while a concurrent diagnosis of secondary omental torsion was missed. This oversight underscores the challenges in diagnosing abdominal pathologies, with the initial misdiagnosis leading to ongoing patient distress. Meticulous adhesiolysis and omentectomy were performed, resulting in the resolution of the patient’s symptoms.

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“…Finding of free serosanguineous fluid as a result of hemorrhagic extravasation is a characteristic finding which was also present in our study. 22 …”

Section: Discussionmentioning

confidence: 99%

Diagnostic challenge: Secondary omental torsion misdiagnosed as acute appendicitis—A case report

Maqbool,

Shafiq,

Ali

et al. 2024

SAGE Open Medical Case Reports

View full text Add to dashboard Cite

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Laparoscopic Management of Primary Omental Torsion

Miheţiu

Sandu

Bratu

et al. 2021

Case Reports in Surgery

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Primary omental torsion is an unusual condition, known for its rarity and for the particularity of being intraoperatively diagnosed, in nearly all cases. At the clinical evaluation, this pathology commonly mimics other etiologies of acute abdomen. Hemoperitoneum and necrosis of the omentum are rarely associated with the omental torsion, but when the association is found, then it means that the vascular injuries are irreversible and the required surgical procedure may be far more complex than simple devolvulus. In search of the treatment of choice, laparoscopy proved its effectiveness as a diagnostic and therapeutic tool, while the open surgery approach can be described in many cases as being too invasive. A 37-year-old female patient presented with the generic symptoms of acute appendicitis. Surgical treatment was initiated. During laparoscopy, the abdomen was attentively explored, highlighting the presence of a twisted omentum with hemoperitoneum and necrosis. Omental excision and peritoneal drainage were performed. The evolution was favorable. Another check-up was done at 6 months postoperatively, displaying no signs or symptoms of relapse.

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Omental torsion: a diagnostic challenge

Cited by 2 publications

References 8 publications

Diagnostic challenge: Secondary omental torsion misdiagnosed as acute appendicitis—A case report

Diagnostic challenge: Secondary omental torsion misdiagnosed as acute appendicitis—A case report

Laparoscopic Management of Primary Omental Torsion

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