Unraveling the Enigma: Omental Torsion in a Patient with Non-specific Abdominal Pain

Year 2024, , 63 - 67, 25.03.2024

Emre Teke , Serhat Binici

https://doi.org/10.55517/mrr.1413512

Abstract

Omental torsion is a rare cause of acute abdominal pain, with an incidence rate of less than 0.37%. Due to its non-specific symptoms, it is often confused with other causes of acute abdominal pain, such as acute appendicitis. In this case presentation, we will discuss a 26-year-old male patient who presented to the emergency department with complaints of abdominal pain and was diagnosed with perioperative omental torsion. The diagnosis of omental torsion is challenging due to its non-specific symptoms. When a diagnosis cannot be established in acute pain, diagnostic laparoscopy should not be delayed. Omental torsion can be easily treated with laparoscopic omentectomy.

Keywords

Acute abdomen, Abdominal pain, Laparoscopic surgery, Omentum torsion

Ethical Statement

No need for Ethical Statement approval

Gizemi Çöz: Spesifik Olmayan Karın Ağrısı Olan Bir Hastada Omental Torsiyon

Abstract

Omental torsiyon, akut karın ağrısının nadir bir nedenidir ve görülme oranı %0,37'den azdır. Spesifik olmayan semptomları nedeniyle sıklıkla akut apandisit gibi diğer akut karın ağrısı nedenleriyle karıştırılır. Bu olgu sunumunda acil servise karın ağrısı şikayeti ile başvuran ve peroperatif omental torsiyon tanısı konulan 26 yaşındaki erkek hastayı tartışacağız. Spesifik olmayan semptomları nedeniyle omentum torsiyonunun tanısı zordur. Akut ağrıda tanı konulamadığında tanısal laparoskopi geciktirilmemelidir. Omentum torsiyonu laparoskopik omentektomi ile kolaylıkla tedavi edilebilir.

Keywords

Akut batın, Karın ağrısı, Laparoskopik cerrahi, Omentum torsiyonu

Ethical Statement

No need for Ethical Statement approval.

References

• Stoker J, van Randen A, Laméris W, Boermeester MA. Imaging patients with acute abdominal pain. Radiology [Internet]. 2009 Oct;253(1):31–46. Available from: http://pubs.rsna.org/doi/10.1148/radiol.2531090302
• Carrillo LM, de Jesús Marín-López J, Díaz-Barrera O, Olvera-Rodríguez JA, Gutiérrez-Gutiérrez LY, Herrera-Gutiérrez J. Omental torsion; an unusual case of acute abdomen. Case report. Int J Surg Case Rep [Internet]. 2023 Feb;103:107901. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2210261223000299
• Öztaş M, Türkoğlu B, Öztas B, Alakuş Ü, Meral UM. Rare causes of acute abdomen and review of literature: Primary/secondary omental torsion, isolated segmental omental necrosis, and epiploic appendagitis. Ulus Travma Acil Cerrahi Derg [Internet]. 2023 Feb;29(2):193–202. Available from: http://www.ncbi.nlm.nih.gov/pubmed/36748764
• Karanikas M, Kofina K, Boz Ali F, Vamvakerou V, Effraemidou E, Lyratzopoulos N, et al. Primary greater omental torsion as a cause of acute abdomen-a rare case report. J Surg case reports [Internet]. 2018 Aug;2018(8):rjy207. Available from: http://www.ncbi.nlm.nih.gov/pubmed/30094002
• Breunung N, Strauss P. A diagnostic challenge: primary omental torsion and literature review - a case report. World J Emerg Surg [Internet]. 2009 Nov 18;4:40. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19922627
• Kataoka J, Nitta T, Ota M, Takashima Y, Yokota Y, Fujii K, et al. Laparoscopic omentectomy in primary torsion of the greater omentum: report of a case. Surg case reports [Internet]. 2019 May 9;5(1):76. Available from: http://www.ncbi.nlm.nih.gov/pubmed/31073707
• McMillen B, Hekman DP, Nguyen MTT, Grewal D. Idiopathic omental infarction: managed conservatively. BMJ Case Rep [Internet]. 2019 Mar 8;12(3). Available from: http://www.ncbi.nlm.nih.gov/pubmed/30852495
• Lindley SI, Peyser PM. Idiopathic omental infarction: One for conservative or surgical management? J Surg case reports [Internet]. 2018 Mar;2018(3):rjx095. Available from: http://www.ncbi.nlm.nih.gov/pubmed/29599961