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Clinical Characteristics of Torsion of the Omentum
Alvaro Montiel-Jarquin1, Aurelio Lopez-Colombo2, Arnulfo Nava2
1Gastroenterologist and General Surgeon, at Instituto Mexicano del Seguro Social in Puebla, Mexico; Research Department, Instituto Mexicano del Seguro Social, Puebla and Benemérita Universidad Autónoma de Puebla, Mexico.
Background:
The aim of this paper is to describe clinical aspects of the torsion of the omentum.
Methods:
In this observational, retrospective study, the study group consisted of patients surgically managed for torsion of the omentum, between 1998 and 2008, in a second level medical facility in Mexico. Variables in the study included age, sex, signs and symptoms, body mass index (BMI), treatment and evolution time. Descriptive statistical analysis was employed.
Results:
Eleven patients were confirmed torsion of omentum, 7 (63.63%) women and 4 (36.36%) men, median age 33 (20 to 58) years, BMI > 25.0 in 9 (81.81%), average evolution 6.54, SD 3.47 days. All presented with abdominal pain, 6 (54.54%) with abdominal distension, 4 (36.36%) with ambulatory difficulty, 3 (27.27%) with malaise, and 5 (45.45%) with previous surgery. In all cases diagnosis was made by means of laparotomy, treatment was the resection of the affected segment, and there were no further complications.
Conclusions:
Torsion of the omentum resembles acute appendicitis; abdominal pain and abdominal distension are the most common symptoms. It is often discovered during surgery and it is treated surgically by removal of the affected segment of the omentum.
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