[On omentum torsion].
Results of treatment of 10 patients aged from 16 to 62 years with omentum torsion were analyzed. The majority of them were hospitalized 1.5 -- 3 days after disease beginning. The main symptom was pains in the right half of the abdomen. Clinical picture was characterized by slow progress and late manifestation of peritoneal symptoms. All the patients underwent surgery under general anesthesia. Eight of them were suspected for acute appendicitis, 2 -- for acute cholecystitis. Five patients were operated during the first 2 hours, others -- from 6 hrs 40 min to 20 hrs after hospitalization. In all the patients segmental torsion of the right side of the omentum on 360-720 degrees was revealed. Nine patients had abdominal hemorrhagic effusion. Resection of the affected part of the omentum with additional appendectomy in 5 cases was performed. Destruction in the appendix was revealed only in one patient. There were no complications and lethal outcomes. Problems of diagnostic and surgical policy are discussed.
Kurguzov
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D000328:Adult; D001064:Appendicitis / Q000175:diagnosis; D041881:Cholecystitis, Acute / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D009852:Omentum; D010532:Peritoneal Diseases / Q000175:diagnosis / Q000601:surgery; D012189:Retrospective Studies; D014102:Torsion Abnormality / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome