Clinical Characteristics of Torsion of the Omentum

Alvaro Montiel-Jarquin, Aurelio Lopez-Colombo, Arnulfo Nava, Rayo Juarez-Santiesteban, Hugo Leyva-Trejo, Alfonso Zamora-Ustaran, Mario Garcia-Carrasco, Margarita Munoz-Guarneros

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.



doi:10.4021/gr2009.07.1303
Publish ahead of print July 21, 2009


Keywords


Torsion of the greater Omentum; Clinical characteristics; Retrospective study

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