2000
DOI: 10.5144/0256-4947.2000.211
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Torsion of Abdominal Appendages Presenting with Acute Abdominal Pain

Abstract: Background: Diseases of the abdominal appendages are rare causes of abdominal pain in all age groups. Patients and Methods: Nine patients with torsion and infarction of abdominal appendages were retrospectively reviewed. Results: Four patients had torsion and infarction of the appendices epiploicae, four patients had torsion and infarction of part of the greater omentum, and one patient had torsion and infarction of the falciform ligament. The patient with the falciform ligament disease represents the first re… Show more

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Cited by 23 publications
(19 citation statements)
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“…If a large segment of the omentum is involved, a mass may be felt (17). In general, patients with omental torsion compared to patients with acute appendicitis are less unwell, and the duration of the disease extends over a longer period of time (18). Compared to appendicitis, torsion has an incidence of 0.0016 – 0.37%, which is a ratio of less than 4 cases per 1 000 cases of appendicitis (19).…”
Section: Discussionmentioning
confidence: 99%
“…If a large segment of the omentum is involved, a mass may be felt (17). In general, patients with omental torsion compared to patients with acute appendicitis are less unwell, and the duration of the disease extends over a longer period of time (18). Compared to appendicitis, torsion has an incidence of 0.0016 – 0.37%, which is a ratio of less than 4 cases per 1 000 cases of appendicitis (19).…”
Section: Discussionmentioning
confidence: 99%
“…Omental torsion is a rare cause of abdominal pain presenting mainly in the 3 rd to 5 th decade of life with a slight male predominance (3:2) [5,6]. The omentum twists around its long axis, clockwise at a pivotal point.…”
Section: Discussionmentioning
confidence: 99%
“…cysts, adhesions, hernial sacs) resulting in a distal fixation point (bipolar torsion) [2,7]. In some cases the omentum may infarct without torsion, which is known as primary idiopathic segmental infarction [6]. …”
Section: Discussionmentioning
confidence: 99%
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“…Presentation usually involves abrupt onset of focal abdominal pain mostly in the lower quadrants, which worsens with cough or stretching of the abdominal wall muscles 10,11. Associated symptoms are rare, bowel function and appetite are usually unchanged, and nausea and vomiting are rare 4,12. The patient usually does not appear to be very ill and the white blood cell count is either normal or mildly elevated 13.…”
Section: Discussionmentioning
confidence: 99%