Omental torsion. Case report

详细信息    查看全文

• 作者：Janny Lizbeth Zaleta-Cruz^a ; Javier Rojas-Mé ; ndez^a ; Ulises Garza-Serna^a ; Romá ; n Gonzá ; lez-Ruvalcaba^a ; José ; Ortiz de Elguea-Lizarraga^a ; Eduardo Flores-Villalba^a ; ^b ; ^{eduardofloresv@gmail.com}
• 关键词：Acute abdomen ; Torsion ; Omentum ; Laparoscopic
• 刊名：Cirugía y Cirujanos (English Edition)
• 出版年：2017
• 出版时间：January-February 2017
• 年：2017
• 卷：85
• 期：1
• 页码：49-53
• 全文大小：666 K
• 卷排序：85

文摘

Omental torsion is an infrequent cause of acute abdomen and its symptoms are non-specific, often presenting with pain at the right iliac fossa as the only symptom. Its aetiology remains unknown, but different risk factors have been associated with the disease, including obesity, congenital malformations, and tumours. These risk factors have been classified as predisposing or triggering, primary or secondary, and external or internal.Clinical caseThis is a case of a 24-year-old male who complained about pain in the right iliac fossa without any other symptoms. The diagnosis was acute appendicitis, but during the laparoscopic approach, omental torsion was found.ConclusionThe diagnosis of omental torsion is complex. However, computed tomography and ultrasound have been used successfully. The treatment for omental torsion is the resection of necrotised tissue by a laparoscopic approach.