Omental torsion; an unusual case of acute abdomen. Case report

Carrillo, Luis Miguel; Marín-López, José de Jesús; Díaz-Barrera, Oscar; Olvera-Rodríguez, Jesús Alejandro; Gutiérrez-Gutiérrez, Laura Yazmín; Herrera-Gutiérrez, Jacaranda

doi:10.1016/j.ijscr.2023.107901

Cited by 4 publications

(4 citation statements)

References 14 publications

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“…It tends to predominantly affect middle aged males, with male to female ration of 5:1. 5 The greater omentum is frequently affected due to its length and greater mobility, 7 although cases involving lesser omentum have also been documented. 8 The primary clinical manifestation, noted in approximately 90% of cases, 9 is right-sided abdominal pain, which can be misleading, similar to the symptoms of acute appendicitis, as presented in our patient.…”

Section: Discussionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

“…So far only 300 cases 5 of omental torsion have been reported in the existing literature with an incidence of 0.0016% to 3.7%. 5 Here, we present a case of omental torsion secondary to right inguinal hernia that was misdiagnosed previously as acute appendicitis.…”

Section: Introductionmentioning

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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“…Omental torsion, on the other hand, is a rare cause of acute abdominal pain, more frequently observed in males aged 30-50, with an incidence rate of less than 0.37%. The number of cases mentioned in the literature is fewer than 300 (2) In this case presentation, we describe a patient who presented with acute abdominal pain, and the definitive diagnosis of omental torsion was made intraoperatively.…”

Section: Introductionmentioning

confidence: 97%

Unraveling the Enigma: Omental Torsion in a Patient with Non-specific Abdominal Pain

Teke,

Binici

2024

Medical Research Reports

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Omental torsion is a rare cause of acute abdominal pain, with an incidence rate of less than 0.37%. Due to its non-specific symptoms, it is often confused with other causes of acute abdominal pain, such as acute appendicitis. In this case presentation, we will discuss a 26-year-old male patient who presented to the emergency department with complaints of abdominal pain and was diagnosed with perioperative omental torsion. The diagnosis of omental torsion is challenging due to its non-specific symptoms. When a diagnosis cannot be established in acute pain, diagnostic laparoscopy should not be delayed. Omental torsion can be easily treated with laparoscopic omentectomy.

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“…Las primarias se asocian con variantes anatómicas del epiplón, este es el caso más raro por lo que solo se presenta en un tercio de los casos. La torsión secundaria en cambio se relaciona con cicatrices de cirugías o traumatismos previos, masas patológicas, hernias, o patologías que conduzcan a adherencias (Carrillo et al, 2023).…”

Section: Introductionunclassified

Abordaje Farmacológico y Quirúrgico en la Torsión Omental

Celi Yanongómez,

Plazarte Michilena,

Albuja Unda

et al. 2024

Ciencia Latina

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Objetivo: describir el abordaje farmacológico y quirúrgico en la torsión omental. Metodología: Se realizó una revisión bibliográfica en bases de datos científicas con los términos indexados en español e inglés. Se seleccionan los artículos relacionados a los criterios de selección en cirugía de trasplante de córnea en adultos. Resultados y discusión: La torsión omental es una condición médica caracterizada por la rotación anormal del omento, una capa de tejido graso que cuelga del estómago y recubre los órganos abdominales. De difícil diagnóstico. El tratamiento farmacológico está diseñado principalmente para aliviar los síntomas y proporcionar confort antes de la intervención quirúrgica; con analgésicos, siendo los antiinflamatorios no esteroides (AINEs) una opción común para reducir la inflamación y proporcionar alivio. El tratamiento quirúrgico con cirugía laparoscópica en todos los casos con resultados favorables. La omentectomía, se considera la modalidad más efectiva para restablecer el flujo sanguíneo adecuado, minimizando así el riesgo de necrosis del tejido omental.

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Omental torsion; an unusual case of acute abdomen. Case report

Cited by 4 publications

References 14 publications

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

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

Unraveling the Enigma: Omental Torsion in a Patient with Non-specific Abdominal Pain

Abordaje Farmacológico y Quirúrgico en la Torsión Omental

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