A RARE CAUSE OF ACUTE ABDOMINAL PAIN: THE OMENTAL TORSION

Yıl 2019, Cilt: 10 Sayı: 3, 72 - 74, 01.07.2019

Levent Cankorkmaz , Hatice Özer , Yusuf Kenan Tekin

https://doi.org/10.33706/jemcr.609076

Öz

lntroduction: Omental torsion represents the rotation of the omentum on its long axis. it is a rare cause of acute abdominal pain and can mimic clinically many diseases. in this case report, a boy with omental torsion which was detected during laparotomy.

Case report: We report a case of primary torsion in a nine-year-old boy who presented with abdominal pain on the right lower abdom inal area. The abdomina l pain was initially localized to right lower quadrant. Physical exam ination which revealed tenderness in the right lower quadrant. The patient did not have rebound tenderness. Ultrasonographyfindings were normal except minimal free fluid in abdomen. The patient had undergone laparotomy. Rotation of greater omentum was seen during operation. Appendec tomy and partial omentectomy was performed .

Conclusion: Typical symptom of acute appendicitis begin as periumbilical or epigastric pain migrating to the right lower quadrant of the abdomen. This pain migration is the most discriminating feature ofthe patient's history. Primaryomental torsion should be kept in mind as anunusual cause of acute abdominal pain. Especially, ifthepatient 's abdominal pain initial location right lowerquadrant.

Anahtar Kelimeler

Acute abdomen, Abdominal pain, omental torsion

Kaynakça

• 1.Ghosh Y,Arora R. Omental torsion.J Clin Diagn Res 2014; 8: NE01- 2.
• 2. Tepeneu NF, Tarmann R, Sinzig M, Fasching G. Primary segmental omental infarction as a rare cause of acute abdominal pain in childhood. Journal of Pediatric Surgery Case Reports 2018; 28: 41-4 .
• 3. Helmrath MA, Dorfman SR, Minifee PK, Bloss RS, Brandt ML, DeBakey ME. Right lower quadrant pain in children caused by omental infarction. Am J Surg 2001; 182: 729-32.
• 3. Cremonini C, Bertolucci A, Tartaglia D, Menonna F, Galatioto C, Chiarugi M. Acute abdomen caused by greater omentum torsion: A case report and review ofthe literature. Ulus Travma Acil Cerrahi Derg. 2016; 22(4): 391-4.