<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1405-0099</journal-id>
<journal-title><![CDATA[Cirujano general]]></journal-title>
<abbrev-journal-title><![CDATA[Cir. gen]]></abbrev-journal-title>
<issn>1405-0099</issn>
<publisher>
<publisher-name><![CDATA[Asociación Mexicana de Cirugía General A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1405-00992017000300171</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Torsión de epiplón: causa rara de dolor abdominal recurrente]]></article-title>
<article-title xml:lang="en"><![CDATA[Omental torsion: a rare cause of recurrent abdominal pain]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bizueto-Monroy]]></surname>
<given-names><![CDATA[José Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montoya-Pérez]]></surname>
<given-names><![CDATA[Brenda Ivette]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Saldaña-Torres]]></surname>
<given-names><![CDATA[Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Petróleos Mexicanos  ]]></institution>
<addr-line><![CDATA[Salamanca Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional de Petróleos Mexicanos  ]]></institution>
<addr-line><![CDATA[Salamanca Guanajuato]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional de Petróleos Mexicanos Servicio de Cirugía General ]]></institution>
<addr-line><![CDATA[Salamanca Guanajuato]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2017</year>
</pub-date>
<volume>39</volume>
<numero>3</numero>
<fpage>171</fpage>
<lpage>174</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1405-00992017000300171&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1405-00992017000300171&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1405-00992017000300171&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen:  Introducción:  La torsión de epiplón es una condición en la cual un pedículo del mismo gira sobre su propio eje, lo que produce inflamación por contigüidad e imita los síntomas y signos clínicos de la apendicitis aguda, lo cual puede provocar un diagnóstico erróneo si esta patología no es sospechada.  Método:  Reportamos un caso de torsión de epiplón con resolución quirúrgica; enfatizamos la presentación clínica, así como los distintos criterios para el abordaje médico o quirúrgico.  Reporte de caso:  Presentamos el caso de un paciente masculino de 41 años de edad en el Hospital Regional de Petróleos Mexicanos en Salamanca, Guanajuato, con dolor abdominal de más de dos semanas de evolución, con múltiples visitas al Departamento de Urgencias y características clínicas similares a la enfermedad ácido péptica; debido al empeoramiento de su sintomatología, se decidió una exploración quirúrgica de manera laparoscópica, con evidencia de torsión de epiplón en su pedículo, el cual fue resecado sin incidentes; presentó una rápida recuperación, sin complicaciones perioperatorias.  Conclusión:  La torsión de epiplón es rara; sin embargo, el conocimiento de este tipo de patología es de importancia para el cirujano, ya que su presentación puede ser similar a otras causas de abdomen quirúrgico. El abordaje laparoscópico es una excelente opción para su manejo.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract:  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Dolor abdominal]]></kwd>
<kwd lng="es"><![CDATA[epiplón]]></kwd>
<kwd lng="es"><![CDATA[tomografía computada]]></kwd>
<kwd lng="en"><![CDATA[Abdominal pain]]></kwd>
<kwd lng="en"><![CDATA[omentum]]></kwd>
<kwd lng="en"><![CDATA[computed tomography]]></kwd>
</kwd-group>
</article-meta>
</front><back>
<ref-list>
<ref id="B1">
<label>1</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Eitel]]></surname>
<given-names><![CDATA[GG]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Rare omental torsion]]></article-title>
<source><![CDATA[New York Rec]]></source>
<year>1899</year>
<volume>55</volume>
<page-range>715-6</page-range></nlm-citation>
</ref>
<ref id="B2">
<label>2</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Tsironis]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Zikos]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Bali]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Pappas-Gogos]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
<name>
<surname><![CDATA[Koulas]]></surname>
<given-names><![CDATA[S]]></given-names>
</name>
<name>
<surname><![CDATA[Katsamakis]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute abdomen due to primary omental torsion: case report]]></article-title>
<source><![CDATA[J Emer Med]]></source>
<year>2011</year>
<volume>79</volume>
<page-range>e55-8</page-range></nlm-citation>
</ref>
<ref id="B3">
<label>3</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Andreuccetti]]></surname>
<given-names><![CDATA[J]]></given-names>
</name>
<name>
<surname><![CDATA[Ceribelli]]></surname>
<given-names><![CDATA[C]]></given-names>
</name>
<name>
<surname><![CDATA[Manto]]></surname>
<given-names><![CDATA[O]]></given-names>
</name>
<name>
<surname><![CDATA[Chiaretti]]></surname>
</name>
<name>
<surname><![CDATA[Negro]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
<name>
<surname><![CDATA[Tuscano]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary omental torsion (POT): a review of literature and case report]]></article-title>
<source><![CDATA[World J Emerg Surg]]></source>
<year>2011</year>
<volume>6</volume>
<page-range>6</page-range></nlm-citation>
</ref>
<ref id="B4">
<label>4</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Benaghmouch]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Aalala]]></surname>
<given-names><![CDATA[EM]]></given-names>
</name>
<name>
<surname><![CDATA[Hrora]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Benamer]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Sabbah]]></surname>
<given-names><![CDATA[F]]></given-names>
</name>
<name>
<surname><![CDATA[Ahallat]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Acute abdomen for omental torsion]]></article-title>
<source><![CDATA[European J Radiol Extra]]></source>
<year>2011</year>
<volume>79</volume>
<page-range>e55-7</page-range></nlm-citation>
</ref>
<ref id="B5">
<label>5</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[García]]></surname>
<given-names><![CDATA[E]]></given-names>
</name>
<name>
<surname><![CDATA[Robles]]></surname>
<given-names><![CDATA[P]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Torsión omental secundaria a hernia inguinal]]></article-title>
<source><![CDATA[Radiología]]></source>
<year>2015</year>
<volume>2</volume>
<page-range>173-8</page-range></nlm-citation>
</ref>
<ref id="B6">
<label>6</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abidin]]></surname>
<given-names><![CDATA[AZ]]></given-names>
</name>
<name>
<surname><![CDATA[Rahmat]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Aziz]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Right-sided omental torsion associated with inguinal hernia: CT imaging features]]></article-title>
<source><![CDATA[European J Radiol Extra]]></source>
<year>2007</year>
<volume>64</volume>
<page-range>23-5</page-range></nlm-citation>
</ref>
<ref id="B7">
<label>7</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Chew]]></surname>
<given-names><![CDATA[KD]]></given-names>
</name>
<name>
<surname><![CDATA[Holgersen]]></surname>
<given-names><![CDATA[LO]]></given-names>
</name>
<name>
<surname><![CDATA[Friedman]]></surname>
<given-names><![CDATA[D]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary omental torsion in children]]></article-title>
<source><![CDATA[J Ped Surg]]></source>
<year>1995</year>
<volume>30</volume>
<page-range>816-7</page-range></nlm-citation>
</ref>
<ref id="B8">
<label>8</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Nubi]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[McBride]]></surname>
<given-names><![CDATA[W]]></given-names>
</name>
<name>
<surname><![CDATA[Stringel]]></surname>
<given-names><![CDATA[G]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary omental infarct: conservative vs operative management in the era of ultrasound, computerized tomography, and laparoscopy]]></article-title>
<source><![CDATA[J Ped Surg]]></source>
<year>2009</year>
<volume>44</volume>
<page-range>953-6</page-range></nlm-citation>
</ref>
<ref id="B9">
<label>9</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Lee]]></surname>
<given-names><![CDATA[RK-I]]></given-names>
</name>
<name>
<surname><![CDATA[Chu]]></surname>
<given-names><![CDATA[WC-w]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Omental torsion in children successfully treated by conservative treatment based on radiological diagnosis]]></article-title>
<source><![CDATA[Eur J Radiol Extra]]></source>
<year>2010</year>
<volume>75</volume>
<page-range>e75-7</page-range></nlm-citation>
</ref>
<ref id="B10">
<label>10</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Hsu]]></surname>
<given-names><![CDATA[BC-H]]></given-names>
</name>
<name>
<surname><![CDATA[Chou]]></surname>
<given-names><![CDATA[DA]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Primary idiophatic segmental infarction of the greater omentum]]></article-title>
<source><![CDATA[FJS]]></source>
<year>2011</year>
<volume>44</volume>
<page-range>233-6</page-range></nlm-citation>
</ref>
<ref id="B11">
<label>11</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Abe]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Kajiyama]]></surname>
<given-names><![CDATA[K]]></given-names>
</name>
<name>
<surname><![CDATA[Harimoto]]></surname>
<given-names><![CDATA[N]]></given-names>
</name>
<name>
<surname><![CDATA[Gion]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
<name>
<surname><![CDATA[Nagaie]]></surname>
<given-names><![CDATA[T]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Laparoscopic omentectomy for preoperative diagnosis of torsion of the greater omentum]]></article-title>
<source><![CDATA[Int J Surg Case Rep]]></source>
<year>2012</year>
<volume>3</volume>
<page-range>100-2</page-range></nlm-citation>
</ref>
<ref id="B12">
<label>12</label><nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Barai]]></surname>
<given-names><![CDATA[KP]]></given-names>
</name>
<name>
<surname><![CDATA[Knight]]></surname>
<given-names><![CDATA[BC]]></given-names>
</name>
</person-group>
<article-title xml:lang=""><![CDATA[Diagnosis and management of idiopathic omental infarction: a case report]]></article-title>
<source><![CDATA[Int J Surg Case Rep]]></source>
<year>2011</year>
<volume>2</volume>
<page-range>138-40</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
