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Omental bleeding with spontaneously derotated torsion--a case report.
1Second Department of Surgery, Tokyo Medical and Dental University, School of Medicine, Japan.
The Japanese Journal of Surgery
|November 1, 1991
Summary
Omental torsion, a rare cause of abdominal pain, was diagnosed in a 16-year-old male. Surgical excision confirmed the condition, highlighting its potential for spontaneous resolution.
Area of Science:
- Abdominal surgery
- Gastroenterology
- Pediatric surgery
Background:
- Omental torsion is a rare surgical emergency, often presenting with acute abdominal pain.
- It typically affects the greater omentum and can mimic other conditions like appendicitis.
Observation:
- A 16-year-old male presented with sudden onset right lower quadrant abdominal pain after twisting his waist.
- Emergency laparotomy revealed a hemorrhagic mass on the right omentum.
Findings:
- Histological examination showed hemorrhage without infarction or thrombosis.
- This suggests early spontaneous derotation of the omentum, consistent with omental torsion.
Implications:
- This case highlights the importance of considering omental torsion in the differential diagnosis of acute abdominal pain in adolescents.
- Prompt surgical intervention and histological analysis are crucial for accurate diagnosis and successful management.