A Case of Torsion of the Omentum Secondary to a Recurrent Inguinal Hernia

Nishiwaki, Seiji; Yomoda, Daisuke; Iizuka, Kou; Naitou, Keiichi; Yoshida, Masafumi; Ida, Toshiharu

doi:10.3919/jjsa.68.2621

Cited by 6 publications

(3 citation statements)

References 7 publications

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“…Nishiwaki et al suggested that in the case of omental torsion, because of hemolysis in the omentum, the total bilirubin level would increase [ 8 ]. The total bilirubin in our patient increased to 2.9 mg/dL.…”

Section: Discussionmentioning

confidence: 99%

Omental Infarction due to Omental Torsion

Katagiri

Honjo

Nasu

et al. 2013

Case Reports in Surgery

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Omental torsion is a rare cause of acute abdomen and sometimes requires surgery. Recently, we encountered a case of omental torsion diagnosed as omental infarction preoperatively. An 18-year-old male presented to our emergency room with a chief complaint of lower abdominal pain since previous 2 days. Because of his history of Down syndrome, an abdominal examination was very difficult. Plain abdominal computed tomography (CT) suggested omental hernia adhering to the right paracolic gutters. Two days after hospital admission, symptoms did not improve, and contrast-enhanced abdominal CT suggested omental infarction. We performed an emergency surgery. Upon exploration of the abdominal cavity, the greater omentum was found to be twisted four times and adhered to the right paracolic gutters. We performed a partial omentectomy. He was discharged 9 days after the surgery. There was no cause of omental torsion in the abdominal cavity, and he was diagnosed as having idiopathic omental torsion. In cases wherein the cause of acute abdomen cannot be detected, omental torsion should be considered, and abdominal CT could be helpful for the diagnosis.

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Section: Discussionmentioning

confidence: 99%

Omental Infarction due to Omental Torsion

Katagiri

Honjo

Nasu

et al. 2013

Case Reports in Surgery

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“…Additionally, Nishiwaki, et al proposed that involvement of long segment of omentum in torsion and infarction may contribute to hemolysis, impacting the total bilirubin level. 17 This suggests the potential use of total bilirubin as a diagnostic marker for omental torsion in future research.…”

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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“…Nausea, vomiting, loss of appetite, and fever may appear inconsistently. The occurrence of leukocytosis, a high level of C-reactive protein, and even hyperbilirubinemia, probably through hemolysis mechanisms, are regularly met [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

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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A Case of Torsion of the Omentum Secondary to a Recurrent Inguinal Hernia

Cited by 6 publications

References 7 publications

Omental Infarction due to Omental Torsion

Omental Infarction due to Omental Torsion

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

Laparoscopic Management of Primary Omental Torsion

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