Acute Abdomen due to Primary Omental Torsion and Infarction
Background. Torsion of greater omentum is a quite uncommon cause of acute abdomen. It can be primary or secondary but in both cases omentum twists upon itself and causes omental segmentary or diffuse necrosis. Symptoms are unspecific and preoperative diagnosis is difficult. The widespread and increa...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2014/208382 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849683381506277376 |
|---|---|
| author | S. Occhionorelli M. Zese L. Cappellari R. Stano G. Vasquez |
| author_facet | S. Occhionorelli M. Zese L. Cappellari R. Stano G. Vasquez |
| author_sort | S. Occhionorelli |
| collection | DOAJ |
| description | Background. Torsion of greater omentum is a quite uncommon cause of acute abdomen. It can be primary or secondary but in both cases omentum twists upon itself and causes omental segmentary or diffuse necrosis. Symptoms are unspecific and preoperative diagnosis is difficult. The widespread and increasing use of computer tomography (CT) in differential diagnosis of acute abdomen can be useful for making a specific diagnosis. Objectives. This work aims to describe primary omental torsion in order to help avoid misdiagnosis, especially with acute appendicitis, which is eventually based solely on a physical examination. Case Report. We present a case of primary omental torsion in a young man and discuss contemporary methods in diagnosis and management of the condition. Conclusions. When a right diagnosis has been posed, possible treatments for omental torsion and necrosis are two: conservative or surgical. Conservative treatment had been rarely carried out because of frequent and important sequelae just like abdominal abscesses. Nowadays, surgical treatment, laparoscopic or laparotomic, is preferred because it is a safe method in diagnosis and management of this condition. |
| format | Article |
| id | doaj-art-dca668d01b2446219c145414ca16580c |
| institution | DOAJ |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-dca668d01b2446219c145414ca16580c2025-08-20T03:23:55ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/208382208382Acute Abdomen due to Primary Omental Torsion and InfarctionS. Occhionorelli0M. Zese1L. Cappellari2R. Stano3G. Vasquez4Department of Morphology, Surgery and Experimental Medicine, University of Ferrara, Via L. Borsari 46, 44121 Ferrara, ItalyDepartment of Morphology, Surgery and Experimental Medicine, University of Ferrara, Via L. Borsari 46, 44121 Ferrara, ItalyDepartment of Surgery, Emergency Surgery Service, Arcispedale Sant’Anna, Via A. Moro 8, 44124 Ferrara, ItalyDepartment of Surgery, Emergency Surgery Service, Arcispedale Sant’Anna, Via A. Moro 8, 44124 Ferrara, ItalyDepartment of Surgery, Emergency Surgery Service, Arcispedale Sant’Anna, Via A. Moro 8, 44124 Ferrara, ItalyBackground. Torsion of greater omentum is a quite uncommon cause of acute abdomen. It can be primary or secondary but in both cases omentum twists upon itself and causes omental segmentary or diffuse necrosis. Symptoms are unspecific and preoperative diagnosis is difficult. The widespread and increasing use of computer tomography (CT) in differential diagnosis of acute abdomen can be useful for making a specific diagnosis. Objectives. This work aims to describe primary omental torsion in order to help avoid misdiagnosis, especially with acute appendicitis, which is eventually based solely on a physical examination. Case Report. We present a case of primary omental torsion in a young man and discuss contemporary methods in diagnosis and management of the condition. Conclusions. When a right diagnosis has been posed, possible treatments for omental torsion and necrosis are two: conservative or surgical. Conservative treatment had been rarely carried out because of frequent and important sequelae just like abdominal abscesses. Nowadays, surgical treatment, laparoscopic or laparotomic, is preferred because it is a safe method in diagnosis and management of this condition.http://dx.doi.org/10.1155/2014/208382 |
| spellingShingle | S. Occhionorelli M. Zese L. Cappellari R. Stano G. Vasquez Acute Abdomen due to Primary Omental Torsion and Infarction Case Reports in Surgery |
| title | Acute Abdomen due to Primary Omental Torsion and Infarction |
| title_full | Acute Abdomen due to Primary Omental Torsion and Infarction |
| title_fullStr | Acute Abdomen due to Primary Omental Torsion and Infarction |
| title_full_unstemmed | Acute Abdomen due to Primary Omental Torsion and Infarction |
| title_short | Acute Abdomen due to Primary Omental Torsion and Infarction |
| title_sort | acute abdomen due to primary omental torsion and infarction |
| url | http://dx.doi.org/10.1155/2014/208382 |
| work_keys_str_mv | AT socchionorelli acuteabdomenduetoprimaryomentaltorsionandinfarction AT mzese acuteabdomenduetoprimaryomentaltorsionandinfarction AT lcappellari acuteabdomenduetoprimaryomentaltorsionandinfarction AT rstano acuteabdomenduetoprimaryomentaltorsionandinfarction AT gvasquez acuteabdomenduetoprimaryomentaltorsionandinfarction |