Torsion of the greater omentum: treatment by laparoscopy.
Four new cases of necrosis of the omentum secondary to torsion are reported. We review the associated signs and symptoms, which are usually those of an acute inflammatory condition in the right lower quadrant (RLQ), very similar to acute appendicitis. Because of acute abdominal pain in the RLQ, along with an uncertain diagnosis, laparoscopic surgery was performed in these cases. Laparoscopy demonstrated the existence of the omental infarction and allowed for complete treatment of the condition without the need for laparotomy.
Sánchez
Javier
J
General Surgery Department, Hospital del S A S, Huércal-Overa, Almería, Spain. cirujanos@cajamar.es
Rosado
Rafael
R
Ramírez
Diego
D
Medina
Pedro
P
Mezquita
Susana
S
Gallardo
Andrés
A
D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D009852:Omentum; D010532:Peritoneal Diseases / Q000601:surgery*; D014102:Torsion Abnormality