Omental torsion as a possible cause of acute abdomen
Authors:
L. Puszkailer 1; Š. Malec 3; J. Smetka 1; R. Blažková 1; A. Drápalová 1; D. Guzyová 2
Authors‘ workplace:
Chirurgicko-traumatologické oddělení nemocnice Šternberk, SMN, a. s.
1; Radiodiagnostické oddělení nemocnice Šternberk, SMN, a. s.
2; Dětské oddělení nemocnice Šternberk SMN, a. s.
3
Published in:
Rozhl. Chir., 2021, roč. 100, č. 9, s. 459-462.
Category:
Case Report
doi:
https://doi.org/10.33699/PIS.2021.100.9.459–462
Overview
Primary torsion of large omentum is a rare cause of abdominal pain. The knowledge of this disease is essential for surgeons. It plays an important role in differential diagnosis of acute abdomen. The authors present two cases of primary omental torsion. They describe the diagnostic and therapeutic process. Diagnosis of omental torsion is difficult. Frequently, it presents with abdominal pain and imitates other acute abdominal diseases such as acute appendicitis in most cases. It is difficult to diagnose before surgical revision is approached. Laboratory and paraclinical examinations may not provide any clear findings. Laparoscopic revision is the method of choice, with confirmation of the diagnosis and laparoscopic resection of the ischemic part of omentum.
Keywords:
omental torsion – acute abdomen
Sources
1. Adams JT. Primary torsion of the omentum. American Journal of Surgery 1973;126(1):102–105. doi:10.1016/ s0002-9610(73)80104.
2. Andreuccetti J, Ceribelli C, Manto O, et al. Primary omental torsion (POT): a review of literature and case report. WJES 2011;6(6). doi:10.1186/1749-7922-6-6.
3. Morris JH. Torsion of the omentum: its clinical importance. Arch Surg. 1932;24(1):40–76. doi:10.1001/archsurg. 1932.01160130043004.
4. Karayiannakis AJ, Polychronidis A, Chatzigianni E, et al. Primary torsion of the greater omentum: report of a case. Surgery Today 2002;32(10):913–915. doi:10.1007/ s005950200180.
5. Leitner MJ, Jordan CG, Spinner MH, et al. Torsion, infarction and hemorrhage of the omentum as a cause of acute abdominal distress. Annals of Surgery 1952;135(1):103– 110. doi:10.1097/00000658-195201000- 00014.
6. Kimber CP, Westmore P, Huston JM, et al. Primary omental torsion in children. Journal of Paediatrics and Child Health 1996;32(1):22–44. doi:10.1111/j.1440-1754.1996.tb01535.x.
7. Cianci R, Filippone A, Basilico R, et al. Idiopathic segmental infarction of the greater omentum diagnosed by unenhanced multidetector-row CT and treated successfully by laparoscopy. Emergency Radiology 2008;15(1):51–56. doi:10.1007/ s10140-007-0631-z.
8. Naffaaa LN, Shabbb NS, Haddadaet MC. CT findings of omental torsion and infarction: case report and review of the literature. Clinical Imaging 2003;27(2):116– 118. doi:10.1016/s0899-7071(02)00524-7.
9. Barbier C, Pradoura JM, Tortuyaux JM, et al. Imagerie des infarctus segmentaires idiopathiques du grand épiploon. Apport diagnostique et physiopathologique. Journal de Radiologie 1998;79(11):1367– 1372.
10. Wiesner W, Kaplan V, Bongartz G, et al. Omental infarction associated with right-sided heart failure. European Radiology 2000;10(7):1130–1132. doi:10.1007/s003309900276.
11. Balthazar EJ, Lefkowitz RA. Left-sided omental infarction with associated omental abscess: CT diagnosis. Journal of Computer Assisted Tomography 1993;17(3):379–381. doi:10.1097/00004728-199305000- 00007.
12. Efthimiou M, Kouritas VK, Fafoulakis F, et al. Primary omental torsion: report of two cases. Surgery Today 2009;39(1):64–67. doi:10.1007/s00595-008-3794-7.
13. Parr NJ, Crosbie RB. Intermittent omental torsion – an unusual cause of recurrent abdominal pain? Postgraduate Medical Journal 1989;65(760):114–115. doi:10.1136/pgmj.65.760.114.
14. Coulier B. Segmental omental infarction in childhood: a typical case diagnosed by CT allowing successful conservative treatment. Pediatric Radiology 2006;36(2):141–143. doi:10.1007/ s00247-005-0025-x.
15. Itenberg E, Mariadason J, Khersonsky J, et al. Modern management of omental torsion and omental infarction: a surgeon‘s perspective. Journal of Surgical Education 2010;67(1):44–47. doi:10.1016/j.jsurg.2010.01.003.
16. Nubi A, McBride W, Stringel G, et al. Primary omental infarct: conservative vs operative management in the era of ultrasound, computerized tomography, and laparoscopy. Journal of Pediatric Surgery 2009;44(5):953–956. doi:10.1016/j.jpedsurg. 2009.01.032.
17. Sánchez J, Rosado R, Ramírez D, et al. Torsion of the greater omentum: treatment by laparoscopy. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 2002;12(6):443–445. doi:10.1097/00129689-200212000- 00012.
18. Costi R, Cecchini S, Randone B, et al. Laparoscopic diagnosis and treatment of primary torsion of the greater omentum. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques 2008;18(1):10–25. doi:10.1097/SLE.0b013e3181576902.
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Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2021 Issue 9
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