Zenon Pogorelić1, Josip Katić2, Karla Gudelj2, Ivana Mrklić3, Katarina Vilović3, Zdravko Perko4. 1. Attending Physician, Department of Pediatric Surgery, Split University Hospital Centre and Split University School of Medicine, Croatia zenon@vip.hr. 2. Student, School of Medicine, University of Split, Croatia. 3. Attending Physician, Department of Pathology, Split University Hospital Centre and Split University School of Medicine, Croatia. 4. Chief Surgeon, Department of Surgery, Split University Hospital Centre and Split University School of Medicine, Croatia.
Abstract
INTRODUCTION: Torsion of the omentum is twisting along its long axis and a rare cause of acute abdomen. Depending on associated conditions, it is classified as primary and secondary. It may mimic different pathologies presenting as acute abdomen, most common of them being acute appendicitis. Current choice for management of omental torsion is laparoscopic surgery. CASE PRESENTATION: We present two cases of omental torsion of two boys who presented with abdominal pain, nausea and vomiting and underwent emergency laparoscopy. CONCLUSION: Omental torsion is very rare, and its diagnosis is usually made only after surgery. At laparoscopy, omental torsion is suspected when the appendix is normal and the symptoms and findings of torsion are present. Laparoscopy is a safe and effective approach for the diagnosis and management of omental torsion, with the advantages of reduced postoperative pain and hospital stay.
INTRODUCTION: Torsion of the omentum is twisting along its long axis and a rare cause of acute abdomen. Depending on associated conditions, it is classified as primary and secondary. It may mimic different pathologies presenting as acute abdomen, most common of them being acute appendicitis. Current choice for management of omental torsion is laparoscopic surgery. CASE PRESENTATION: We present two cases of omental torsion of two boys who presented with abdominal pain, nausea and vomiting and underwent emergency laparoscopy. CONCLUSION: Omental torsion is very rare, and its diagnosis is usually made only after surgery. At laparoscopy, omental torsion is suspected when the appendix is normal and the symptoms and findings of torsion are present. Laparoscopy is a safe and effective approach for the diagnosis and management of omental torsion, with the advantages of reduced postoperative pain and hospital stay.
Authors: Yue Du; Yan Chen; Cai-Hong Li; Bi Zhou; Jin-Liang Wu; Liang-Rui Gu; Kai Yang Journal: Comput Math Methods Med Date: 2022-10-11 Impact factor: 2.809