Primary omental torsion: A case report.

World J Gastrointest Surg

Stefano Scabini, Edoardo Rimini, Andrea Massobrio, Emanuele Romairone, Renato Scordamaglia, Luisito De Marini, Valter Ferrando, Oncologic Surgical Unit, Department of Haemato-Oncology, St Martino Hospital, 16136 Genova, Italy.

Published: October 2011

A patient presented with an acute abdomen at the Emergency Department. The patient, a 69-year-old man, was admitted and underwent surgery with a provisional diagnosis of acute appendicitis. During surgery, omental torsion was diagnosed and the involved omentum was removed. The patient had no previous surgical history. Omental torsion is a rare cause of acute abdomen in children and adults who may present with various signs and symptoms; a preoperative diagnosis may therefore be difficult and can usually only be established during surgery.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3220728PMC
http://dx.doi.org/10.4240/wjgs.v3.i10.153DOI Listing

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Omental torsion is a medical condition characterized by the twisting of the omentum along its longitudinal axis, which leads to compromised blood flow. This condition is rarely diagnosed before surgery and can present symptoms similar to other causes of acute surgical abdomen. This report details a case of primary omental torsion initially suspected to be acute appendicitis.

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