Right-sided omental torsion with inguinal hernia

Authors

  • Liming Deng Department of Surgery, The Second Affiliated Hospital of University of South China
  • Guozuo Xiong Department of Surgery, The Second Affiliated Hospital of University of South China
  • Yaping Yan Department of Surgery, The Second Affiliated Hospital of University of South China
  • Xianpeng Dai Department of Surgery, The Second Affiliated Hospital of University of South China
  • Shen Xin Department of Surgery, The Second Affiliated Hospital of University of South China
  • Guoshan Bi Department of Surgery, The Second Affiliated Hospital of University of South China
  • Jie Chen Department of Surgery, The Second Affiliated Hospital of University of South China
  • Bingbing Hu Department of Surgery, The Second Affiliated Hospital of University of South China
  • Wengao Wu Department of Surgery, The Second Affiliated Hospital of University of South China
  • Linpeng Li Department of Surgery, The Second Affiliated Hospital of University of South China

DOI:

https://doi.org/10.18203/2349-2902.isj20164482

Keywords:

Acute abdomen, Inguinal hernia, Omental torsion

Abstract

A 38 year old man was admitted to our hospital with abdominal pain. He had an untreated right inguinal hernia and the hernia presented as a swelling ball of 4.0×3.0 cm in size. CT showed a large mass of fat density below the Sigmoid colon and incarcerated fat within the right inguinal hernia. Emergent laparotomy revealed four-circle twisted and infarcted greater omentum and a little bloody ascites within the right inguinal hernia. Pathological examination showed hemorrhagic infarction of the greater omentum. Although omental torsion is a rare cause of acute abdominal pain, it should be taken into consideration in the differential diagnoses of acute abdomen, especially in patients with untreated inguinal hernia.

References

Eitel GG. Rare omental torsion. New York Med Rec. 1899;55:715.

Karayiannakis AJ, Polychronidis A, Chatzigianni E, Simopoulos C. Primary torsion of the greater omentum: report of a case. Surg Today. 2002;32:913-5.

Naffaa LN, Shabb NS, Haddad MC. CT findings of omental torsion and infarction: case report and review of the literature. Clin Imaging. 2003;27:116-8.

Aoun N, Zebouni HS, Slaba S, Noun R, Ghossain M. Left-sided omental torsion: CT appearance. Eur Radiol. 2001;11:96-8.

Leitner MJ, Jordan CG, Spinner MH, Reese EC. Torsion, infarction and hemorrhage of the omentum as a cause of acute abdominal distress. Ann Sur. 1952;135:103-10.

Kim J, Kim Y, Cho OK, Rhim H, Koh BH, Kim YS, Han DS, Baek HK. Omental torsion: CT features. Abdom Imaging. 2004;29:502-4.

Husaini H, Onime A, Oluwole SF. Primary torsion of the greater omentum. J Natl Med Assoc. 2000;92:302-8.

Downloads

Published

2016-12-13

Issue

Vol. 4 No. 1 (2017): January 2017

Section

Case Reports