Abstract
Two patients with omental torsion, who presented with acute abdomen, are reported. The first case, a 14-yearold boy, was admitted for acute appendicitis. During surgery, omental torsion on the long axis was diagnosed and the involved omentum was resected. The patient had not experienced any previous abdominal surgery. The second case, a 49-year-old man, was admitted with symptoms of acute abdomen. Similarly, a laparotomy revealed omental torsion around the long axis. This patient also had no history of previous abdominal surgery. The involved portion of the omentum was also resected. Omental torsion is a rare cause of acute abdomen in children and adults, who may present with various signs and symptoms mimicking other etiologies of acute abdomen. A preoperative diagnosis may therefore be difficult and it usually can only be established during surgery.
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References
Adams JT. Torsion of the omentum. Abdominal wall, omentum, mesentery and retroperitoneum. In: Schwartz SI, Shires GT, Spencer FC, editors. Principles of surgery. 5th ed. New York: McGraw-Hill; 1989. p. 1495–1496.
Eitel GG. Rare omental tumor. Med Rec 1899;55:715–716.
Basson SE, Jones PA. Primary torsion of the omentum. Ann R Coll Surg Engl 1981;63:132–134.
Karayiannakis AJ, Polychronidis A, Chatziyianni E, Simopoulos C. Primary torsion of the greater omentum: report of a case. Surg Today 2002;32:913–915.
Ozbey H, Salman T, Celik A. Primary torsion of the omentum in a 6-year-old boy: report of a case. Surg Today 1999;29(6):568–569.
Sarac AM, Yegen C, Actan AO, Yalin R. Primary torsion of the omentum mimicking acute appendicitis: report of a case. Surg Today 1997;27(3):251–253.
Sweeney MJ, Blestel GA, Ancalmo N. Primary torsion of the greater omentum. A rare cause of abdominal pain in children. JAMA 1983;249:3073.
Kimber CP, Westmore P, Hutson JM, Kelly JH. Primary omental torsion in children. J Pediatr Surg 1996;32:22–24.
Therior JA, Sayat J, Franco S, Buchino J. Childhood obesity: a risk factor for omental torsion. Pediatrics 2003;112:460–465.
Styne DM. Childhood and adolescent obesity: prevalence and significance. Pediatr Clin North Am 2001;48:823–854.
Poujade O, Ghiles E, Senasil A. Primary torsion of the greater omentum: case report-review of literature: diagnosis cannot always be performed before surgery. Surg Laparosc Endosc Percutan Tech 2007;17(1):54–55.
Leither MJ, Jordan CJ, Spinner MH, Reese EC. Torsion, infarction and haemorrhage of the omentum as a cause of acute abdominal distress. Ann Surg 1952;135:103–110.
Puylaert JB. Right-sided segmental infarction of the omentum: clinical, US, and CT findings. Radiology 1992;185:169–172.
Schlesinger AE, Dorfman SR, Braverman RM. Sonographic appearance of omental infarction in children. Pediatr Radiol 1999;29:598–601.
Baldisserotto M, Maffazzoni DR, Dora MD. Omental infarction in children: color Doppler sonography correlated with surgery and pathology findings. Am J Radiol 2005;184:156–162.
Kim J, Kim Y, Cho OK, Rhim H, Koh BH, Kim YS, Han DS, et al. Omental torsion: CT features. Abdom Imaging 2004;29;502–504.
Mallick MS, Al-Bassam AA. Primary omental torsion in children. The pre-disposing factors and role of laparoscopy in diagnosis and treatment. Saudi Med J 2006;27(2):194–197.
Chan KW, Chow CS, Tam YH, Lee KH. Laparoscopy: An excellent tool in the management of primary omental torsion in children. J Laparoendosc Adv Surg Tech A 2007;17(6):821–824.
Perello MJ, Albasini Aguayo JL, Soria Aledo V, Aguilar Jimenez J, Flores Pastor B, Candel Arenas MF, et al. Omental torsion: imaging techniques can prevent unnecessary surgical interventions. Gastroenterol Hepatol 2002;25:493–496.
Abadir JS, Cohen AJ, Wilson SE. Accurate diagnosis of infarction omentum and appendice epiploicae by computed tomography. Am Surg 2004;70:854–857.
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Efthimiou, M., Kouritas, V.K., Fafoulakis, F. et al. Primary omental torsion: Report of two cases. Surg Today 39, 64–67 (2009). https://doi.org/10.1007/s00595-008-3794-7
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DOI: https://doi.org/10.1007/s00595-008-3794-7