title: [Torsion of the omentum - an unexpected cause of acute surgical abdomen in a pregnant woman -case report].
abstract: OBJECTIVE
  Torsion of the omentum is a rare cause of acute surgical abdomen. Here we describe a case of a pregnant woman with acute abdominal pain and a perioperative diagnosis of necrosis of torted omentum was made.
  
  
  METHODS
  Case report.
  
  
  METHODS
  Department of Obstetrics and Gynaecology, Masaryks Hospital, Jilemnice.
  
  
  METHODS
  Thirty year old female patient, who was 38 weeks pregnant, presented to our department with acute surgical abdomen. Acute appendicitis was suspected and an urgent caesarean section followed by appendectomy was scheduled. However, perioperatively a necrotic part of torted omentum was identified and resected.
  
  
  CONCLUSIONS
  Torsion of the omentum is a rare cause of acute abdominal pain which is usually diagnosed only perioperatively. This condition usually presents with nonspecific symptoms and most commonly mimics acute appendicitis. Owing to, inexplicit symptoms and wide range of differential diagnoses it is important to think of this entity as a possible cause of acute abdominal pain. Clear indication for abdominal surgery, especially in pregnant patients is essential and requires efficient team working between gynaecologists, abdominal surgeons and radiologists.
authors.forename: M
authors.initials: M
authors.lastname: Novotná
authors.forename: R
authors.initials: R
authors.lastname: Müller
mesh_terms: D000006:Abdomen, Acute / Q000209:etiology; D000328:Adult; D002585:Cesarean Section / Q000009:adverse effects; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009852:Omentum / Q000473:pathology*; D010532:Peritoneal Diseases / Q000175:diagnosis* / Q000473:pathology; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000473:pathology; D011296:Prenatal Diagnosis; D014102:Torsion Abnormality / Q000175:diagnosis* / Q000473:pathology
keywords: acute surgical abdomen; pregnancy.; torsion of the omentum