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Primary segmental omental torsion, mimicking acute appendicitis
Paschalis Gavriilidis1, Salomone Di Saverio2, Mauro Podda3
1Department of Surgery, Saint Helena General Hospital, Jamestown, UK.
Journal of Medicine and Life
|May 13, 2024
Summary
Primary segmental omental torsion (PSOT) is a rare cause of acute abdominal pain that can mimic appendicitis. Early consideration of PSOT in differential diagnoses is crucial to prevent complications like abscesses.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Primary segmental omental torsion (PSOT) is an uncommon cause of acute abdominal pain.
- It frequently mimics acute appendicitis, posing diagnostic challenges.
Purpose of the Study:
- To highlight the importance of considering PSOT in the differential diagnosis of acute abdominal pain.
- To emphasize the potential for misdiagnosis and subsequent complications.
Main Methods:
- Case report of a 63-year-old male with acute abdominal pain.
- Clinical presentation, physical examination, laboratory findings, and diagnostic laparoscopy were documented.
- Absence of imaging due to resource limitations was noted.
Main Results:
- Diagnostic laparoscopy revealed hemoperitoneum and a necrotic omental mass.
- Resection of the necrotic omentum was performed.
- The patient recovered without complications.
Conclusions:
- PSOT should be included in the differential diagnosis for acute abdominal pain, particularly when appendicitis is suspected but findings are atypical.
- Timely diagnosis and surgical intervention are essential to avoid complications.
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