Acute abdomen caused by greater omentum torsion: a case report and review of the literature

Cremonini, Camilla; Bertolucci, Andrea; Tartaglia, Dario; Menonna, Francesca; Galatioto, Christian; Chiarugi, Massimo

doi:10.5505/tjtes.2015.74944

Cited by 16 publications

(31 citation statements)

References 25 publications

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“…Torsion of the greater omentum is an uncommon cause of acute abdomen, accounting for 1.1% of all cases of acute abdominal pain [7] . Omental torsion can be classified as primary or secondary, and secondary omental torsion is more common [3] . Secondary torsion is associated with other diseases such as inguinal hernia, tumors in the omentum, cysts, intraabdominal inflammation, and post-surgical wounds or scarring.…”

Section: Discussionmentioning

confidence: 99%

“…Medullary carcinoma (MC) is a rare type of colorectal adenocarcinoma that is almost always microsatellite-unstable, and it has a strong association with hereditary non-polyposis colorectal cancer (HNPCC or Lynch syndrome) [1] , [2] . Omental infarction is caused by torsion of the greater omentum, and it is a rare cause of acute abdomen [3] . A rare case of a patient undergoing single-incision laparoscopic colectomy of MC of the ascending colon followed by infarction of the greater omentum mimicking anastomotic leakage is described.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A resected case of medullary carcinoma of the ascending colon followed by infarction of the greater omentum mimicking anastomotic leakage

Wakasugi

Kono

Yasuhara

et al. 2017

International Journal of Surgery Case Reports

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A resected case of medullary carcinoma of the ascending colon followed by infarction of the greater omentum mimicking anastomotic leakage

Wakasugi

Kono

Yasuhara

et al. 2017

International Journal of Surgery Case Reports

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“…7 Las torsiones se pueden dividir en primarias o secundarias: las primeras no tienen patología subyacente; en las segundas, que son responsables de aproximadamente dos tercios de los casos, 7 hay una presencia de un proceso patológico que hace de punto de "anclaje" distal del omento (los quistes, los tumores, los focos inflamatorios intrabdominales, las heridas quirúrgicas previas o los sacos herniarios con epiplón en su interior). 8 Son más frecuentes del lado derecho (90% de los casos), en principio debido al tamaño superior y movilidad del epiplón mayor de ese lado con respecto al izquierdo, 9 con el punto de torsión alrededor de la arteria epiploica derecha distal.…”

Section: Discussionunclassified

Infarto de omento mayor. Presentación de dos casos con un tratamiento conservador

Medina-Gallardo¹,

Curbelo-Peña²,

Gardenyes-Martínez³

et al. 2020

Acta gastroenterol. latinoam.

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Omental infarction is a rare cause of acute abdominal pain. Cases. The report is based on two cases who attended to emergency, complaining of abdominal pain with CT diagnosis of omental infarction. We present a case of a 42 years old man who consulted to the emergency service for a pain in the right hemiabdomen, with elevated inflammatory markers in blood tests. Radiological examination by abdominal CT showed an omental torsion infarction. The patient evolved favourably with conservative treatment. The second case is a 85 years old man appendectomized who consulted for a pain in the left iliac foza with physical examination and complementary and radiological, it is concluded that it is an omental infarction, with a good evolution due to the treatment. Discussion. Clinical diagnosis remains a challenge, due to its rarity and clinical presentation mimicking acute appendicitis or cholecystitis. Hence in the absence of imaging test, intraoperative diagnosis takes place. It can occur due to two main pathogenic mechanisms: Secondary to vascular pedicle torsion (primary or secondary to another abdominal pathology) or situations that predispose to thrombosis. Conclusion. Omental infarction should be considered in the differential diagnosis of acute abdominal pain. Once confirmed by CT abdominal scan, conservative treatment could be considered, avoiding unnecessary surgery.

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“…Furthermore, entrapment of the implant in the greater omentum caused a volvulus in several cases. In humans, volvulus of the greater omentum is associated with acute abdominal pain ( 24 ).…”

Section: Discussionmentioning

confidence: 99%

Long-Term Safety of Intraperitoneal Radio Transmitter Implants in Brown Bears (Ursus arctos)

et al. 2018

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Intraperitoneal radio transmitters have been widely used in free-ranging wild mammals, but there are no long-term studies on their biocompatibility or technical stability within the abdominal cavity of animals. Possible negative health effects may bias results from ecological studies on instrumented animals and raise concerns over animal welfare issues. The aim of this study was to evaluate the long-term technical stability and pathological effects of Telonics intraperitoneal very high frequency (VHF) radio transmitters in brown bears (Ursus arctos). We instrumented 305 individual bears with intraperitoneal VHF radio transmitters during a 19-year period. We surgically removed devices that had been in bears for 1–9 years and collected transmitters from animals that died 1–13 years after implantation. We took biopsies for histopathology from tissue encapsulating implants in live bears. Retrieved transmitters underwent a technical inspection. Of the 125 transmitters removed from live bears, 66 were free-floating in the peritoneal cavity [a mean (SD) of 3.8 (1.5) years after implantation], whereas 59 were encapsulated in the greater omentum [4.0 (1.8) years after implantation]. Histopathology of biopsies of the 1–15 mm thick capsules in 33 individuals showed that it consisted of organized layers of connective tissue. In one third of the bears, the inner part of the capsule was characterized by a foreign body reaction. We inspected 68 implants that had been in bears for 3.9 (2.4) years. The batteries had short-circuited four (5.9%) of these devices. This resulted in the death of two animals 10 and 13 years after implantation. In two other bears that underwent surgery, we found the short-circuited devices to be fully encapsulated within the peritoneal cavity 5 and 6 years after implantation. A significant proportion of the other 64 inspected implants showed serious technical problems, such as corrosion of metal parts or the batteries (50%), detachment of the end cap (11.8%), and erosion (7.4%) or melting (5.9%) of the wax coating. We conclude that the wax coating of the transmitters was not biocompatible, that the technical quality of the devices was poor, and that these implants should not be used in brown bears.

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Acute abdomen caused by greater omentum torsion: a case report and review of the literature

Cited by 16 publications

References 25 publications

A resected case of medullary carcinoma of the ascending colon followed by infarction of the greater omentum mimicking anastomotic leakage

A resected case of medullary carcinoma of the ascending colon followed by infarction of the greater omentum mimicking anastomotic leakage

Infarto de omento mayor. Presentación de dos casos con un tratamiento conservador

Long-Term Safety of Intraperitoneal Radio Transmitter Implants in Brown Bears (Ursus arctos)

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