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Primary omental torsion diagnosed and treated laparoscopically: a case report.

ABSTRACT: Omental torsion, a rare cause of acute abdomen in children and adults, is difficult to correctly diagnose before surgery because it mimics the common causes of acute surgical abdomen. We present a case of greater omental torsion that was diagnosed by laparoscopy. A 37-year-old man presented with right lower abdominal pain and was suspected to have appendicitis. Blood tests revealed elevated C-reactive protein and white blood cell count, whereas computed tomography revealed a nodular mass and high-density lesions in the fat tissue. As the patient's abdominal symptoms were severe and a clear diagnosis could not be made, we performed exploratory laparoscopy. Laparoscopy revealed omental torsion, and an omentectomy was performed. The patient's pain had significantly reduced post-surgery, and post-operative recovery was uneventful. Thus, laparoscopic examination is useful for accurately diagnosing omental torsion and is less invasive than surgery.

SUBMITTER: Imanishi K

PROVIDER: S-EPMC8177965 | biostudies-literature | 2021 Jun

REPOSITORIES: biostudies-literature

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Primary omental torsion diagnosed and treated laparoscopically: a case report.

Imanishi Kentaro K Iga Norichika N Mizuno Daisuke D Nishi Hideyuki H Miyoshi Shinichiro S

Journal of surgical case reports 20210604 6

Omental torsion, a rare cause of acute abdomen in children and adults, is difficult to correctly diagnose before surgery because it mimics the common causes of acute surgical abdomen. We present a case of greater omental torsion that was diagnosed by laparoscopy. A 37-year-old man presented with right lower abdominal pain and was suspected to have appendicitis. Blood tests revealed elevated C-reactive protein and white blood cell count, whereas computed tomography revealed a nodular mass and hig ...[more]

PMID: 34104412

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