Montiel-Jarquin A, Lopez-Colombo A, Nava A, Juarez-Santiesteban R, Leyva-Trejo H, Zamora-Ustaran A, García-Carrasco M, Munoz-Guarneros M. Clinical Characteristics of Torsion of the Omentum.
Gastroenterology Res 2009;
2:220-223. [PMID:
27942278 PMCID:
PMC5139745 DOI:
10.4021/gr2009.07.1303]
[Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 07/09/2009] [Indexed: 11/17/2022] Open
Abstract
Background
The aim of this paper is to describe clinical aspects of the torsion of the omentum.
Methods
In this observational, retrospective study, the study group consisted of patients surgically managed for torsion of the omentum, between 1998 and 2008, in a second level medical facility in Mexico. Variables in the study included age, sex, signs and symptoms, body mass index (BMI), treatment and evolution time. Descriptive statistical analysis was employed.
Results
Eleven patients were confirmed torsion of omentum, 7 (63.63%) women and 4 (36.36%) men, median age 33 (20 to 58) years, BMI > 25.0 in 9 (81.81%), average evolution 6.54, SD 3.47 days. All presented with abdominal pain, 6 (54.54%) with abdominal distension, 4 (36.36%) with ambulatory difficulty, 3 (27.27%) with malaise, and 5 (45.45%) with previous surgery. In all cases diagnosis was made by means of laparotomy, treatment was the resection of the affected segment, and there were no further complications.
Conclusions
Torsion of the omentum resembles acute appendicitis; abdominal pain and abdominal distension are the most common symptoms. It is often discovered during surgery and it is treated surgically by removal of the affected segment of the omentum.
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