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Cirujano general
versión impresa ISSN 1405-0099
Resumen
BIZUETO-MONROY, José Luis; MONTOYA-PEREZ, Brenda Ivette y SALDANA-TORRES, Fernando. Omental torsion: a rare cause of recurrent abdominal pain. Cir. gen [online]. 2017, vol.39, n.3, pp.171-174. ISSN 1405-0099.
Introduction:
Torsion of the greater omentum is a condition in which a pedicle twists on its axis and produces inflammation by contiguity that can mimic the clinical symptoms and signs of acute appendicitis and may lead to a misdiagnosis if it is not clinically suspected.
Method:
We present a case of a primary torsion of the greater omentum; we emphasize the clinical presentation and different criteria of medical or surgical approach.
Case report:
We report the case of a patient with a history of more than two weeks of abdominal pain similar to peptic ulcer disease and multiple Emergency Department visits; the symptomatology progressively intensified, so the decision was made to perform laparoscopic surgical exploration that revealed omental torsion, which appeared to have twisted on its pedicle; it was resected, with a rapid and uneventful recovery.
Conclusion:
Omental torsion is rare; however, the knowledge of this pathology is important to the surgeon because it mimics the common causes of surgical abdomen. Laparoscopic resection is an excellent alternative method of treatment.
Palabras llave : Abdominal pain; omentum; computed tomography.