Journal of Dr. NTR University of Health Sciences

CASE REPORT
Year
: 2015  |  Volume : 4  |  Issue : 1  |  Page : 50--52

Torsion omentum mimicking appendicitis: A rare cause of pain abdomen


Janardhana Rao Konkena1, Santa Rao Gunta2, Srinubabu Kollu2, Prasad Neelam2 
1 Department of General Surgery, King George Hospital, Visakhapatnam, Andhra Pradesh, India
2 Department of General Surgery, Andhra Medical College, Visakhapatnam, Andhra Pradesh, India

Correspondence Address:
Dr. Srinubabu Kollu
Department of General Surgery, Andhra Medical College, Visakhapatnam, Andhra Pradesh
India

Omental torsion is a rare cause of acute abdomen. It usually presents with acute onset right-sided abdominal pain. The most common risk factors are adult male between 40 and 50 years of age and obesity. Clinical diagnosis is challenging and difficult to differentiate from more common clinical pathologies such as acute appendicitis and acute cholecystitis. Transabdominal imaging such as ultrasonography and computed tomography are useful showing typical whirl pattern. Advocated management is surgical excision of torted omentum. Herein, we report a case of primary omental torsion in an adult and a review of current literature. The diagnosis was incidental when patient was undertaken for laparoscopic appendectomy. This case not only highlights the importance of considering omental torsion in the differential diagnosis of right-sided acute abdominal pain but also endorses the changing practice to the laparoscopic approach for management of right-sided abdominal pain.


How to cite this article:
Konkena JR, Gunta SR, Kollu S, Neelam P. Torsion omentum mimicking appendicitis: A rare cause of pain abdomen.J NTR Univ Health Sci 2015;4:50-52


How to cite this URL:
Konkena JR, Gunta SR, Kollu S, Neelam P. Torsion omentum mimicking appendicitis: A rare cause of pain abdomen. J NTR Univ Health Sci [serial online] 2015 [cited 2020 Jan 29 ];4:50-52
Available from: http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2015;volume=4;issue=1;spage=50;epage=52;aulast=Konkena;type=0