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Omental whirl associated with bilateral inguinal hernia: a case report

2014Journal article Open access
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dc.contributor.authorSilva, E
dc.contributor.authorCarvalho, AF
dc.contributor.authorRocha, D
dc.contributor.authorRodrigues, AM
dc.contributor.authorPereira, R
dc.contributor.authorRodrigues, AJ
dc.contributor.authorLeão, P
dc.date.accessioned2014-08-05T22:13:40Z
dc.date.available2014-08-05T22:13:40Z
dc.date.issued2014
dc.description.abstractTorsion of the omentum is a rare cause of abdominal pain. It is clinically similar to common causes of acute surgical abdomen and is often diagnosed during surgery. Inguinal hernia is a common condition but not frequently related with torsion of the omentum. CASE PRESENTATION: A 40-year-old Caucasian man came to our emergency department with abdominal pain of the left quadrant and abdominal distension for 2 days. His medical history included an untreated left inguinal hernia in the last year. Computed tomography revealed densification of mesocolon with left omentum "whirl" component and other signs of omental torsion. During an exploratory laparoscopy, a wide twist of his omentum with necrotic alterations that extended to the bilateral inguinal hernial content was observed. Omentectomy and surgical repair of bilateral inguinal hernia were performed. CONCLUSIONS: Torsion of the omentum is a rare entity and usually presents a diagnostic challenge. The use of abdominal computed tomography can help diagnosing torsion of the omentum preoperatively and, thus, prevents a surgical approach. Nonetheless, some cases of torsion of the omentum require surgical repair. Accordingly, a laparoscopic approach is minimally invasive and efficient in performing omentectomy.por
dc.identifier.citationJ Med Case Rep. 2014 Jul 1;8:239.por
dc.identifier.urihttp://hdl.handle.net/10400.23/672
dc.language.isoengpor
dc.peerreviewedyespor
dc.subjectEpíplonpor
dc.subjectHérnia Inguinalpor
dc.titleOmental whirl associated with bilateral inguinal hernia: a case reportpor
dc.typejournal article
dspace.entity.typePublication
rcaap.rightsopenAccesspor
rcaap.typearticlepor

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