Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

13 July 2010

Always think about omental torsion when the appendix looks normal

Irene Papageorgiou, Anestis Hatzigeorgiadis, John Papadopoulos, Katerina Andreou, Konstantinos Blouhos

Am J Case Rep 2010; 11:138-141 :: ID: 881034

Abstract

Background: Omental torsion is a rare cause of acute abdomen that is quite difficult to diagnose preoperatively. We aim to stress that the surgeon should be aware of this pathological condition when suspecting a different pathology.
Case Report: We present a case of an 8-year-old male patient who underwent a laparotomy with the diagnosis of acute appendicitis, though his clinical presentation was not totally convincing. Our patient was admitted to the Emergency Department [ER] complaining of strong and persistent pain in his right abdomen. The white blood cell count was normal and C-reactive protein was slightly elevated. Physical examination revealed tenderness in the entire right abdomen, in both quadrants, and with severe abdominal defence. Ultrasound did not reveal any pathological signs, while abdominal computed tomography was not performed because of the patient’s age. We initially performed a classical appendectomy, but since the appendix seemed normal, we searched the abdomen for another pathology that would explain our patient’s clinical presentation. A segment of the greater omentum - almost necrotic - was rotated around its longitudinal axis in the upper quadrant of the right abdomen. Omentectomy of the ischemic segment was performed through the same McBurney skin incision, only by extending our access through the muscle layer. The patient had an uneventful recovery.
Conclusions: In our case the surgeon’s suspicion and awareness of this unusual abdominal pathology led to a successful treatment.

Keywords: omental torsion, primary, secondary, acute abdomen

0 Comments

SARS-CoV-2/COVID-19

01 December 2021 : Case report  USA

A 48-Year-Old Immunocompetent Female Resident of Southern Florida with Confirmed Reinfection with P.1 (Gamm...

Am J Case Rep In Press; DOI: 10.12659/AJCR.935329  

26 November 2021 : Case report  Poland

Arteritic Anterior Ischemic Optic Neuropathy in the Course of Giant Cell Arteritis After COVID-19

Am J Case Rep In Press; DOI: 10.12659/AJCR.933471  

01 December 2021 : Case report  USA

Progressive Pulmonary Fibrosis After Non-Critical COVID-19: A Case Report

Am J Case Rep 2021; 22:e933458

25 November 2021 : Case report  USA

A Case of COVID-19-Associated Free-Floating Aortic Thrombus Successfully Treated with Thrombectomy

Am J Case Rep 2021; 22:e933225

In Press

07 Dec 2021 : Case report  Greece

Combination of Adenomyoepithelioma and Adenoid Cystic Carcinoma of the Breast: A Case Report of an Uncommon...

Am J Case Rep In Press; DOI: 10.12659/AJCR.934391  

07 Dec 2021 : Case report  Brazil

BRASH Syndrome: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.934600  

07 Dec 2021 : Case report  USA

A Missed Case of Area Postrema Syndrome Presenting with Neuromyelitis Optica Spectrum Disorder

Am J Case Rep In Press; DOI: 10.12659/AJCR.934649  

03 Dec 2021 : Case report  Saudi Arabia

A 4-Month-Old Girl with Persistent Respiratory Distress and Multiple Admissions to the Pediatric Intensive ...

Am J Case Rep In Press; DOI: 10.12659/AJCR.935247  

Most Viewed Current Articles

15 Aug 2020 : Case report  USA

A 57-Year-Old African American Man with Severe COVID-19 Pneumonia Who Responded to Supportive Photobiomodul...

DOI :10.12659/AJCR.926779

Am J Case Rep 2020; 21:e926779

09 May 2019 : Case report  USA

A Rare Case of Stage IV Basaloid Squamous Cell Cancer with Intrapulmonary and Brain Metastases

DOI :10.12659/AJCR.915073

Am J Case Rep 2019; 20:664-667

13 Mar 2019 : Case report  USA

Dry Beriberi Due to Thiamine Deficiency Associated with Peripheral Neuropathy and Wernicke’s Encephalopathy...

DOI :10.12659/AJCR.914051

Am J Case Rep 2019; 20:330-334

09 Jan 2019 : Case report  Saudi Arabia

3-M Syndrome: A Local Case Report

DOI :10.12659/AJCR.912736

Am J Case Rep 2019; 20:36-38

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923