Primary Omental Torsion in an Old Woman: Imaging Techniques Can Prevent Unnecessary Surgical Interventions

Torsion and/or infarction of the greater omentum are rare but well-recognized clinical situations which present as an acute abdomen. The etiology is unknown and speculative. In most cases, the pathology is right sided and clinical presentation consists of an acute or subacute flank pain with mild pe...

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Main Authors: Mohhamad-Hadi Saeed Modaghegh, Reza Jafarzadeh
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/541324
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author Mohhamad-Hadi Saeed Modaghegh
Reza Jafarzadeh
author_facet Mohhamad-Hadi Saeed Modaghegh
Reza Jafarzadeh
author_sort Mohhamad-Hadi Saeed Modaghegh
collection DOAJ
description Torsion and/or infarction of the greater omentum are rare but well-recognized clinical situations which present as an acute abdomen. The etiology is unknown and speculative. In most cases, the pathology is right sided and clinical presentation consists of an acute or subacute flank pain with mild peritonism usually evoking appendicitis or cholecystitis. Nevertheless, knowledge concerning these two problems can help the surgeon in proper diagnosis and treatment. Since the first report on primary torsion by Eitel in 1899, a few hundred more have been reported and some collective reviews published to date. Recently, ultra sonography and computed tomography have proved to provide sufficiently typical, consistent, and well-recognizable features to avoid unnecessary surgery. In this study, we will present a case diagnosed as primary omental torsion based on computed tomography, which underwent successful conservative management.
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spelling doaj-art-f25492f836384fbc98b47fe5e49aa8472025-02-03T06:11:08ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/541324541324Primary Omental Torsion in an Old Woman: Imaging Techniques Can Prevent Unnecessary Surgical InterventionsMohhamad-Hadi Saeed Modaghegh0Reza Jafarzadeh1Mashhad Vascular and Endovascular Research Center, Mashhad University of Medical Sciences (MUMS), Mashhad, IranGeneral practitioner, Mashhad Vascular and Endovascular Research Center, University of Medical Sciences (MUMS), Mashhad, IranTorsion and/or infarction of the greater omentum are rare but well-recognized clinical situations which present as an acute abdomen. The etiology is unknown and speculative. In most cases, the pathology is right sided and clinical presentation consists of an acute or subacute flank pain with mild peritonism usually evoking appendicitis or cholecystitis. Nevertheless, knowledge concerning these two problems can help the surgeon in proper diagnosis and treatment. Since the first report on primary torsion by Eitel in 1899, a few hundred more have been reported and some collective reviews published to date. Recently, ultra sonography and computed tomography have proved to provide sufficiently typical, consistent, and well-recognizable features to avoid unnecessary surgery. In this study, we will present a case diagnosed as primary omental torsion based on computed tomography, which underwent successful conservative management.http://dx.doi.org/10.1155/2011/541324
spellingShingle Mohhamad-Hadi Saeed Modaghegh
Reza Jafarzadeh
Primary Omental Torsion in an Old Woman: Imaging Techniques Can Prevent Unnecessary Surgical Interventions
Case Reports in Medicine
title Primary Omental Torsion in an Old Woman: Imaging Techniques Can Prevent Unnecessary Surgical Interventions
title_full Primary Omental Torsion in an Old Woman: Imaging Techniques Can Prevent Unnecessary Surgical Interventions
title_fullStr Primary Omental Torsion in an Old Woman: Imaging Techniques Can Prevent Unnecessary Surgical Interventions
title_full_unstemmed Primary Omental Torsion in an Old Woman: Imaging Techniques Can Prevent Unnecessary Surgical Interventions
title_short Primary Omental Torsion in an Old Woman: Imaging Techniques Can Prevent Unnecessary Surgical Interventions
title_sort primary omental torsion in an old woman imaging techniques can prevent unnecessary surgical interventions
url http://dx.doi.org/10.1155/2011/541324
work_keys_str_mv AT mohhamadhadisaeedmodaghegh primaryomentaltorsioninanoldwomanimagingtechniquescanpreventunnecessarysurgicalinterventions
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