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Acute abdomen due to omental torsion
Author(s) -
Yeow WenChan,
Jayasundera Mohan V,
Hool Graham,
Sinniah Rajalingam
Publication year - 2005
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.2005.tb07000.x
Subject(s) - medicine , general hospital , medical journal , general surgery , family medicine
The Medical Journal of Australia ISSN: 0025729X 15 August 2005 183 4 212-212 ©The Medical Journal of Australia 2005 www.mja.com.au Snapshot uncomplicated and rapid recovery. Primary omental torsion is a rare cause of acute may affect children and adults, and is commonly m preoperatively as appendicitis. Some cases have acute cholecystitis. Kimber et al identified omental torsion or infarction in about 8000 cases appendicitis over a 20-year period. 44 wo na A -year-old woman presented with a 3-day history of rsening right upper quadrant pain associated with usea, anorexia and fever. She had localised tenderness and guarding in the epigastrium. Initial ultrasound imaging showed a distended gallbladder containing calculi, without wall thickening. A computed tomography scan (performed because of increasing pain) showed a whorled structure in the anterior abdomen (Box 1). At laparotomy this was seen to be torsion of a segment of the greater omentum. Histology of the resected specimen showed congestion of the vessels, haemorrhagic infarction and focal fat necrosis (Box 2). She made an