Primer Omentum Torsiyonu

Omentum torsion is a rare cause of acute abdomen. Omentum torsion generally takes place on the right side and clinically mimics appendicitis, so for this reason omentum torsion is generally diagnosed by laparatomy carried out for appendicitis. For differential diagnosis from appendicitis it is important that pain starts suddenly after a heavy meal or hard exercise in omentum torsion and also pain is not accompanied with nausea, vomiting and anorexia. A 54 year-old female patient with suspected appendicitis was operated on and a right paramedian incision was employed. Primary omentum torsion was diagnosed and the infarcted tissue resected. We suggest that in cases where acute appendicitis is uncertain omentum torsion and other pathologies must be considered. In these cases a paramedian incision and diagnostic laparascopy may provide benefit for diagnosis.

Primary Omentum Torsion

Omentum torsion is a rare cause of acute abdomen. Omentum torsion generally takes place on the right side and clinically mimics appendicitis, so for this reason omentum torsion is generally diagnosed by laparatomy carried out for appendicitis. For differential diagnosis from appendicitis it is important that pain starts suddenly after a heavy meal or hard exercise in omentum torsion and also pain is not accompanied with nausea, vomiting and anorexia. A 54 year-old female patient with suspected appendicitis was operated on and a right paramedian incision was employed. Primary omentum torsion was diagnosed and the infarcted tissue resected. We suggest that in cases where acute appendicitis is uncertain omentum torsion and other pathologies must be considered. In these cases a paramedian incision and diagnostic laparascopy may provide benefit for diagnosis

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  • Eitel GG. Rare omental torsion. NY Med Rec. 1899; 55: 715-6.
  • Puberbach WJ. Torsion of the omentum. NY Sate J Med. 1949; 49: 1571.
  • Leitner MJ, Jordan CG, Spinner MH, Reese EC. Torison, infarction and hemorrhage of the omentum as a cause of acute abdominal dis- tress. Ann Surg. 1952; 135: 103-10. [CrossRef]
  • Al Tokhais TI, Bokhari AA, Noureldin OH. Primary omental torsion: A rare cause of acute abdomen. Saudi J Gastroenterol. 2007; 13: 144-6. [CrossRef]
  • Saraç AM, Yeğen C, Aktan AO, Yalin R. Primary torsion of the omentum mimicking acute appendicitis: report of a case. Surg To- day. 1997; 27: 251-3. [CrossRef]
  • Karayiannakis AJ, Polychronidis A, Chatzigianni E, Simopoulos C. Primary torsion of the greater omentum: report of a case. Surg To- day. 2002; 32: 913-5. [CrossRef]
  • Şencan A, Arslan O, Yılmaz Ö, Ayhan S, Mir E. A rare cause of acute abdominal pain: Primary torsion of omentum majus. Turk J Gastro- enterol. 2002; 13: 122-4.
  • Kim J, Kim Y, Cho OK, Rhim H, Koh BH, Kim YS, et al. Omental torsion: CT features. Abdom Imaging. 2004; 29: 502-4. [CrossRef]
  • Nihei Z, Kojima K, Uehara K, Sawai S, Kakihana M, Hirayama R, et al. Omental bleeding with spontaneously derotated torsion - a case report. Jpn J Surg. 1991; 21: 700-2. [CrossRef]
Journal of Emergency Medicine Case Reports-Cover
  • Başlangıç: 2010
  • Yayıncı: Alpay Azap