Primary Torsion of the Greater Omentum: Report of a Case

Karayiannakis, Anastasios J.; Polychronidis, Alexandros; Chatzigianni, Emmy; Simopoulos, Constantinos

doi:10.1007/s005950200180

Cited by 50 publications

(59 citation statements)

References 10 publications

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“…The precipitating factors include sudden increase in intra-abdominal pressure following a heavy meal or exertion, change in body position, coughing or sneezing, and occupational use of vibrating tools. 8,9 Obesity has also been implemented as a risk factor. 1,10 Secondary torsion is more common and a result of underlying abdominal pathology (e.g.…”

Section: Discussionmentioning

confidence: 99%

Omental torsion: a diagnostic challenge

2015

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Section: Discussionmentioning

confidence: 99%

Omental torsion: a diagnostic challenge

2015

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“…This condition is rare V. Borgaonkar (*) : S. Deshpande : M. Rathod : I. Khan and predominant in males. Most patients are middle-aged adults with average age in the third-fifth decade [5,6].…”

Section: Discussionmentioning

confidence: 99%

“…One end is free and other is fixed in the primary, whereas the free end is attached either to adhesion or some pathological condition in the secondary type [6]. There are several predisposing and precipitating factors for primary omental torsion as anatomical variation of omentum including tongue-like projection from free edge of omentum, bifid omentum, accessory omentum, obesity associated with irregular distribution of fat within the omentum and narrow omental pedicle [7,9].…”

Section: Discussionmentioning

confidence: 99%

Primary Omental Torsion Is a Diagnostic Challenge in Acute Abdomen—a Case Report and Literature Review

et al. 2013

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Torsion of greater omentum is a rare cause of acute abdominal pain. It can be primary or secondary. Secondary omental torsions are associated with a number of preexisting conditions like inguinal hernia (most common), tumours, cysts, internal or external herniation, foci of intra-abdominal inflammation and postsurgical wound or scarring. Torsion of omentum causes twisting along its long axis resulting in impaired blood supply. This condition is rare and predominant in males. Most patients are middleaged adults. It clinically mimics acute appendicitis. If evaluated properly and diagnosed in time, good results can be achieved. We are presenting herewith a case of primary greater omental torsion and review of available literature.

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“…Omentum torsiyonunun daha çok sağ tarafta görülmesi; akut apandisit, akut kolesistit, çekal diverikülit gibi hastalıklardan ayırıcı tanısının zorlaşmasına sebep olmaktadır (4,5). Torsiyonun sağ tarafta daha fazla görülmesinin sebebi omentumun sağ tarafta sola göre daha uzun ve geniş olması olarak düşünülmektedir (6). Omental torsiyon gelişimi iki şekilde olabilir.…”

Section: Discussionunclassified

Primary Omentum Torsion

Okos¹,

Duran²,

Çapraz³

2012

JAEMCR

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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. Keywords: Omentum torsion, acute appendicitisReceived: 12.01.2011Accepted: 09.02.2011 ÖZETOmentum torsiyonu oldukça nadir görülen bir akut karın nedenidir. Omentum torsiyonu sıklıkla sağda olması ve kliniğinin akut apandisite benzer olması nedeni ile sıklıkla akut apandisit nedeni ile yapılan laparatomide tanı almaktadır. Ancak ağrının sıklıkla aşırı yemek, ani hareket veya ağır egzersizi takiben birden başlaması ve bulantı, kusma, iştahsızlığın genelde eşlik etmemesi apandisitten ayırıcı tanıda önem arz eder. Bizde akut apandisit kliniği şüpheli olan 54 yaşında bayan olgu sağ paramedian kesi ile opere edildi ve primer omentum torsiyonu tanısı konarak torsiyone segment rezeke edildi. Akut apandisit kliniği şüpheli olan olgularda omentum torsiyonu ve benzeri patolojiler olabileceği düşünülerek paramedian kesi, diagnostik laparoskopi gibi alternatiflerin göz önünde bulundurulmasının faydalı olacağını düşün-mekteyiz. Anahtar Kelimeler: Omentum torsiyonu, akut apandisitBaşvuru Tarihi: 12.01.2011

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Primary Torsion of the Greater Omentum: Report of a Case

Cited by 50 publications

References 10 publications

Omental torsion: a diagnostic challenge

Omental torsion: a diagnostic challenge

Primary Omental Torsion Is a Diagnostic Challenge in Acute Abdomen—a Case Report and Literature Review

Primary Omentum Torsion

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