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Omental torsion: a case report.
D Chaudhary1, R Rajkarnikar, M R Joshi
1Department of Surgery, Kathmandu Medical College Teaching Hospital. dipen262@gmail.com
Kathmandu University Medical Journal (KUMJ)
|January 18, 2006
Summary
Omental torsion, a rare cause of acute abdomen, often mimics appendicitis. Diagnosis is typically confirmed during emergency surgery, highlighting the need for increased clinical suspicion.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Omental torsion is an uncommon cause of acute abdominal pain.
- Clinical presentation frequently mimics acute appendicitis, complicating preoperative diagnosis.
Observation:
- A middle-aged male presented with symptoms strongly suggesting appendicular perforation.
- Initial clinical assessment did not prioritize omental torsion in the differential diagnosis.
Findings:
- The patient underwent an emergency laparotomy due to the suspected appendicular perforation.
- Intraoperative findings confirmed omental torsion as the cause of acute abdomen.
Implications:
- This case underscores the importance of considering omental torsion in the differential diagnosis of acute abdomen, even when appendicitis is suspected.
- Early recognition and surgical intervention are crucial for managing omental torsion effectively.