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Erişkinde nadir bir akut karın sebebi olarak primer omentum torsiyonu: olgu sunumu

Year 2005, Volume: 12 Issue: 2, 59 - 61, 08.04.2009

Abstract

SüleymanDemirel Üniversitesi
TIP FAKÜLTESİ DERGİSİ: 2005 Haziran; 12(2)








Erişkinde nadir bir akut karın sebebi olarak primer omentum torsiyonu: olgu sunumu



Ibrahim Barut, Omer Ridvan Tarhan, Celal Cerci, Hasan Dinelek, Mahmut Bulbul



Özet

Primer omentum torsiyonu, özellikle klinik bulguların nonspesifik olduğu akut karın ağrısının ayırıcı tanısında düşünülmesi gereken nadir bir klinik tablodur. Akut karın ağrısına neden olan omentum torsiyonlu olgumuz literatür verileri ışığı altında sunulmaktadır. Her ne kadar bazı araştırmacılar tarafından konservatif tedavi yaklaşımının yeterli olacağı ileri sürülmüş olsa da primer torsiyonda oluşan iskemik omentumun eksizyonunun en ideal tedavi olacağı kanısındayız.



Anahtar kelimeler: Omentum torsiyonu, akut karın, erişkin yaş grubu



Abstract



Primary torsion of the omentum as a rare cause of

acute abdomen in adults: report of a case

Primary torsion of the omentum is a rare clinical entity that is seldom considered in the differential diagnosis for acute abdominal pain, especially as the clinical findings are so non-specific. The characteristic appearance of omental torsion and review of the literature with a case of primary omental torsion that was causing acute abdomen is presented. We believe that the excision of the ischemic omentum was curative treatment although some authors revealed the conservative management.



Key words: Omental torsion, acute abdomen, adult.

References

  • Stella DL, Schelleman TG. Segmental infarction of the omentum secondary to torsion: ultrasound and computed tomography diagnosis. Australas Radiol 2000; 44(2):212-5.
  • Schwartzman GJ, Jacobs JE, Birnbaum BA. Omental infarction as a delayed complication of abdominal surgery. Clin Imaging 2001; 25(5):341- 3.
  • Adams JT. Abdominal wall, omentum, mesentery, and retropertoneum. In Schwartz SI, Shires GT, Spencer FC, editors. Principles of Surgery. Volume 2, 6th edition. McGraw-Hill Inc; 1994. p 1488-9.
  • Knoll JA, Eckhauser FE. Hernia, mesentery, and retroperitoneum. In Greenfield LJ, Mulholland M, Oldham KT, Zelenock GB, Lillemoe KD, editors. Surgery: scientific principles and practice. 2nd. edition. Philadelphia: Lippincott-Raven; 1997. p 1241.
  • Naraynsingh V, Barrow R, Raju GC, Manmohansingh LU. Segmental infarction of the omentum: diagnosis by ultrasound. Postgrad Med J 1985; 61(717):651-2.
  • Ceuterick L, Baert AL, Marchal G, Kerremans R, Geboes K. CT diagnosis of primary torsion of greater omentum. J Comput Assist Tomogr 1987; 11(6):1083-4.
  • Puylaert JB. Right-sided segmental infarction of the omentum: clinical, US, and CT findings. Radiology 1992; 185(1):169-72.
  • Karak PK, Millmond SH, Neumann D, Yamase HT, Ramsby G. Omental infarction: report of three cases and review of the literature. Abdom Imaging 1998; 23(1):96-8.
  • Rich RH, Filler RM. Segmental infarction of the greater omentum: a cause of acute abdomen in childhood. Can J Surg 1983; 26(3):241-3.
  • Chew DK, Holgersen LO, Friedman D. Primary omental torsion in children. J Pediatr Surg 1995; 30(6):816-7.
  • Karayiannakis AJ, Polychronidis A, Chatzigianni E, Simopoulos C. Primary torsion of the greater omentum: report of a case. Surg Today 2002; 32(10):913-5.
  • Scobie BA. Gastrointestinal emergencies with marathon-type running: omental infarction with pancreatitis and liver failure with portal vein thrombosis. N Z Med J 1998; 111(1067):211-2.
  • Goti F, Hollmann R, Stieger R, Lange J. Idiopathic segmental infarction of the greater omentum successfully treated by laparoscopy: report of case. Surg Today 2000; 30(5):451-3.
Year 2005, Volume: 12 Issue: 2, 59 - 61, 08.04.2009

Abstract

References

  • Stella DL, Schelleman TG. Segmental infarction of the omentum secondary to torsion: ultrasound and computed tomography diagnosis. Australas Radiol 2000; 44(2):212-5.
  • Schwartzman GJ, Jacobs JE, Birnbaum BA. Omental infarction as a delayed complication of abdominal surgery. Clin Imaging 2001; 25(5):341- 3.
  • Adams JT. Abdominal wall, omentum, mesentery, and retropertoneum. In Schwartz SI, Shires GT, Spencer FC, editors. Principles of Surgery. Volume 2, 6th edition. McGraw-Hill Inc; 1994. p 1488-9.
  • Knoll JA, Eckhauser FE. Hernia, mesentery, and retroperitoneum. In Greenfield LJ, Mulholland M, Oldham KT, Zelenock GB, Lillemoe KD, editors. Surgery: scientific principles and practice. 2nd. edition. Philadelphia: Lippincott-Raven; 1997. p 1241.
  • Naraynsingh V, Barrow R, Raju GC, Manmohansingh LU. Segmental infarction of the omentum: diagnosis by ultrasound. Postgrad Med J 1985; 61(717):651-2.
  • Ceuterick L, Baert AL, Marchal G, Kerremans R, Geboes K. CT diagnosis of primary torsion of greater omentum. J Comput Assist Tomogr 1987; 11(6):1083-4.
  • Puylaert JB. Right-sided segmental infarction of the omentum: clinical, US, and CT findings. Radiology 1992; 185(1):169-72.
  • Karak PK, Millmond SH, Neumann D, Yamase HT, Ramsby G. Omental infarction: report of three cases and review of the literature. Abdom Imaging 1998; 23(1):96-8.
  • Rich RH, Filler RM. Segmental infarction of the greater omentum: a cause of acute abdomen in childhood. Can J Surg 1983; 26(3):241-3.
  • Chew DK, Holgersen LO, Friedman D. Primary omental torsion in children. J Pediatr Surg 1995; 30(6):816-7.
  • Karayiannakis AJ, Polychronidis A, Chatzigianni E, Simopoulos C. Primary torsion of the greater omentum: report of a case. Surg Today 2002; 32(10):913-5.
  • Scobie BA. Gastrointestinal emergencies with marathon-type running: omental infarction with pancreatitis and liver failure with portal vein thrombosis. N Z Med J 1998; 111(1067):211-2.
  • Goti F, Hollmann R, Stieger R, Lange J. Idiopathic segmental infarction of the greater omentum successfully treated by laparoscopy: report of case. Surg Today 2000; 30(5):451-3.
There are 13 citations in total.

Details

Primary Language English
Journal Section Olgu Sunumları
Authors

İbrahim Barut

Ömer Tarhan This is me

Celal Çerçi This is me

Hasan Dinelek This is me

Mahmut Bülbül This is me

Publication Date April 8, 2009
Submission Date April 7, 2009
Published in Issue Year 2005 Volume: 12 Issue: 2

Cite

Vancouver Barut İ, Tarhan Ö, Çerçi C, Dinelek H, Bülbül M. Erişkinde nadir bir akut karın sebebi olarak primer omentum torsiyonu: olgu sunumu. Med J SDU. 2009;12(2):59-61.

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