Related Experiment Video
Updated: Aug 11, 2026
03:33
Laparoscopic Left Lateral Sectionectomy: Guided by the Ligamentum Teres Hepatis and the Umbilical Fissure Vein
Published on: September 27, 2024
Left-sided omental torsion with inguinal hernia
Yasumitsu Hirano1, Kaeko Oyama, Hiroshi Nozawa
1Department of Surgery, Kouseiren Takaoka Hospital 5-10, Eiraku-cho, Takaoka, Toyama 933-8555, Japan. y-hirano@k5.dion.ne.jp
World Journal of Gastroenterology
|February 21, 2006
Summary
Omental torsion, a rare cause of abdominal pain, can occur secondary to an untreated inguinal hernia. Surgical intervention is necessary for diagnosis and treatment.
Area of Science:
- Gastroenterology
- Surgical Case Report
Background:
- Inguinal hernias are common, but complications like omental torsion are rare.
- Untreated inguinal hernias can lead to secondary complications.
Observation:
- A 36-year-old man presented with abdominal pain due to an untreated left inguinal hernia.
- CT scan revealed a fat density mass and incarcerated fat in the hernia.
- Laparotomy confirmed left-sided greater omentum torsion within the inguinal hernia.
Findings:
- The greater omentum was twisted 1.5 times and incarcerated in the left inguinal hernia.
- Pathological examination of the resected omentum showed hemorrhagic infarction.
- The patient underwent omentectomy and inguinal hernia repair.
Implications:
- Omental torsion should be considered in the differential diagnosis of acute abdominal pain.
- Early diagnosis and surgical management are crucial for patients with incarcerated hernias.
- This case highlights the importance of timely treatment for inguinal hernias to prevent complications.
Related Concept Videos
01:19Abdominal Regions and Quadrants
To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
01:29Intestinal Obstruction I: Introduction
Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
01:07Intestinal Obstruction II: Pathophysiology
Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
01:25Hiatal Hernia
A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...