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Case Report
Omental torsion: An uncommon cause of abdominal pain
1 Department of Anesthesiology, Jichi Medical University Saitama Medical Center, Saitama, Japan
2 School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
3 Department of Respiratory Infections, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
4 Department of Ecoepidemiology, Institute of Tropical Medicine, Nagasaki University, Nagasaki, Japan
5 Departments of Radiology, Tokyo Metropolitan Police Hospital, Tokyo, Japan
Address correspondence to:
Bhim Gopal Dhoubhadel
School of Tropical Medicine and Global Health, Nagasaki University, 1-12-4 Sakamoto, Nagasaki 852-8523,
Japan
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Article ID: 101304Z01IS2022
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How to cite this article
Sawada I, Dhoubhadel BG, Kato K, Kawauchi N. Omental torsion: An uncommon cause of abdominal pain. Int J Case Rep Images 2022;13:101304Z01IS2022.ABSTRACT
Introduction: Omental torsion is an uncommon disease that presents with acute abdominal pain. Detailed medical history and physical examination can be sufficient for the diagnosis, although imaging techniques may verify.
Case Report: A 55-year-old woman presenting with mild fever, a right abdominal pain, and rebound tenderness at the right lower quadrant was admitted to the hospital. Although these findings implied peritonitis, she did not have gastrointestinal symptoms and had positive Carnett sign. Therefore, the pain was suspected to be associated with an abdominal wall pathology. The computed tomography (CT) scan showed the omental torsion with necrosis. Emergency laparoscopy revealed the adherence of the torsed greater omentum to the anterior abdominal wall. She was discharged without complications.
Conclusion: It is worth keeping omental torsion as a differential diagnosis in patients with acute abdomen with less prominent gastrointestinal symptoms and in patients with suspected abdominal wall pain.
Keywords: Abdominal pain, Acute abdomen, Carnett sign, Laparoscopic surgery, Omental torsion, Omentum
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Author Contributions
Ikumi Sawada - Conception of the work, Design of the work, Acquisition of data, Analysis of data, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Bhim Gopal Dhoubhadel - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Kentaro Kato - Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Nobuo Kawauchi - Acquisition of data, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2022 Ikumi Sawada et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
