Results of treatment of 10 patients aged from 16 to 62 years with omentum torsion were analyzed. The majority of them were hospitalized 1.5 -- 3 days after disease beginning. The main symptom was pains in the right half of the abdomen. Clinical picture was characterized by slow progress and late manifestation of peritoneal symptoms. All the patients underwent surgery under general anesthesia. Eight of them were suspected for acute appendicitis, 2 -- for acute cholecystitis. Five patients were operated during the first 2 hours, others -- from 6 hrs 40 min to 20 hrs after hospitalization. In all the patients segmental torsion of the right side of the omentum on 360-720 degrees was revealed. Nine patients had abdominal hemorrhagic effusion. Resection of the affected part of the omentum with additional appendectomy in 5 cases was performed. Destruction in the appendix was revealed only in one patient. There were no complications and lethal outcomes. Problems of diagnostic and surgical policy are discussed.
对10例年龄在16至62岁之间的大网膜扭转患者的治疗结果进行了分析。他们中的大多数在发病后1.5至3天住院。主要症状是右下腹疼痛。临床表现的特点是进展缓慢和腹膜症状出现较晚。所有患者均在全身麻醉下接受手术。其中8例疑似急性阑尾炎，2例疑似急性胆囊炎。5例患者在入院后2小时内接受手术，其他患者在入院后6小时40分钟至20小时接受手术。所有患者均发现大网膜右侧360 - 720度的节段性扭转。9例患者有腹腔内出血性积液。5例患者在切除受影响的大网膜部分的同时进行了附加阑尾切除术。仅1例患者阑尾有病变。无并发症及死亡病例。讨论了诊断和手术策略问题。
