Hirono Seiko, Sakaguchi Satoru, Iwakura Shinji, Masaki Kazuhito, Tsuhada Kenji, Yamaue Hiroki
Department of Surgery, Naga Hospital, Naga Country, Wakayama, Japan.
Int Surg. 2007 Jul-Aug;92(4):187-91.
A case of omental torsion secondary to right inguinal hernia in a 51-year-old man was operated on in Naga Hospital. Preoperative computed tomography (CT) showed a characteristic whirling fatty mass and entering into a right inguinal hernia. Omental torsion is a relatively rare disease, and the preoperative diagnosis is difficult because of nonspecific clinical signs and symptoms. In this report, we gathered 36 patients with omental torsion from the English language literature since 1986, with the addition of the patient herein reported, and clarified the symptoms, imaging findings, and management of omental torsion.
一名51岁男性因右腹股沟疝继发大网膜扭转,在那加医院接受了手术。术前计算机断层扫描(CT)显示出特征性的漩涡状脂肪团块并进入右腹股沟疝。大网膜扭转是一种相对罕见的疾病,由于临床症状和体征不具特异性,术前诊断困难。在本报告中,我们自1986年以来从英文文献中收集了36例大网膜扭转患者,并加入本文报道的患者,阐明了大网膜扭转的症状、影像学表现及治疗方法。