J Korean Assoc Pediatr Surg.  1997 Jun;3(1):68-70. 10.13029/jkaps.1997.3.1.68.

Primary Omental Torsion

Affiliations
  • 1Division of Pediatric Surgery, Department of Su rgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea.

Abstract

One case of primary omental torsion in a 10 year-old, 43 kg boy is presented. He presented with a history of acute, continuous pain in the upper abdomen, aggravated by changes of position. Physical examination of his abdomen showed board-like rigidity, tenderness and rebound tenderness over the entire abdomen. The preoperative diagnosis was perforated peptic ulcer. Exploratory laparatomy revealed torsion of the greater omentum. The tor sed omentum was excised and the outcome was good. Omental torsion is a rare surgical condition and is difficult to diagnose prior to operation. Therefore, in case of negative exploration for acute abdomen, the omentum should be included among the organs examined. In addition, careful search for an inflammatory focus should be made, because secondary omental torsion with intraabdominal sepsis is much more common than primary torsion.

Keyword

Omentum; Torsion

MeSH Terms

Abdomen
Abdomen, Acute
Diagnosis
Humans
Male
Omentum
Peptic Ulcer
Physical Examination
Sepsis
Full Text Links
  • JKAPS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
    DB Error: unknown error