Primer omental torsion mimicking acute appendicitis
Journal Title: Ege Tıp Dergisi - Year 2016, Vol 55, Issue 2
Abstract
Primary omental torsion (POT) is a rare cause of acute abdomen usually seen in the obese men. It is very rarely seen in the childhood, and as it mimicks acute appendicitis, preoperative diagnosis is difficult. In this report, we present a eleven-year-old boy admitted to the hospital with abdominal pain, fever and vomitting lasting for two days. Physical examination revealed tenderness in the right lower quadrant. White blood cell account was raised, whereas direct abdominal graphy and ultrasonography were normal. The patient was prediagnosed as acute appendicitis, and a transverse laparotomy incision was made. Appendix was normal but omental torsion was seen in the right iliac fossa. There was not any pathologic lesion other than free fluid in the abdominal cavity. Appendectomy and omentectomy was performed. No postoperative complication was noted. Although torsion of the omentum is a rare cause of acute abdomen; it must not be abscent of the surgeon mind when the patients undergoing laparotomy for acute appendicitis, t should not be kept in mind
Authors and Affiliations
Sevgi Büyükbeşe Sarsu, Kamil Şahin, Wassim Almahli
Keywords
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- EP ID EP340833
- DOI 10.19161/etd.344191
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