Dilek KÖSEHAN, KAYIHAN AKIN, Banu ÇAKIR, Aslı KÖKTENER, Aydın İNAN, Hacer HALTAŞ

Omental torsion and infarction with left-sided inguinal hernia

80 yaşında kadın hasta, acil servise 4 gündür şiddeti giderek artan sol alt kadran ağrısı ile başvurdu. Kontrasts ız BT görüntülerinde sol alt kadran ve pelvise doğru uzanan, kök düzeyinde torsiyona bağlı girdap şeklinde çizgilenmeler gösteren omentum ile uyumlu yağlı kitle tespit edildi. Cerrahi olarak da omental enfarkt doğruland ı. Cerrahi ve patolojik olarak doğrulanmış, BT’de tipik girdap işareti saptanan, sol inguinal herninin eşlik ettiği omental torsiyon ve enfarkt olgusunu sunuyoruz.

Sol inguinal herni ile birlikte omental torsiyon ve enfarkt

Omental Torsion and Infarction Accompanying Inguinal Hernia An 80 year-old woman presented to the emergency unit with persistent and increasing left lower quadrant pain of 4 days duration. A non-contrast-enhanced abdominal CT scan demonstrated the fatty mass consistent with the greater omentum extending towards and anteriorly to the left-lower quadrant and pelvis including streaks in a whirling pattern. Surgical exploration confirmed the infarction of the omentum. We report a case of surgically and pathologically proven omental torsion and infarction with left sided inguinal hernia and typical whirling pattern on CT.

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