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大网膜扭转导致的急腹症:一例病例报告及文献复习

Acute abdomen caused by greater omentum torsion: A case report and review of the literature.

作者信息

Cremonini Camilla, Bertolucci Andrea, Tartaglia Dario, Menonna Francesca, Galatioto Christian, Chiarugi Massimo

机构信息

Department of Emergency Surgery Unit, Università Di Pisa, Pisa-Italy.

出版信息

Ulus Travma Acil Cerrahi Derg. 2016 Jul;22(4):391-4. doi: 10.5505/tjtes.2015.74944.

Abstract

Torsion of the greater omentum is a rare cause of acute abdomen. Based on etiopathogenesis, it can be classified as primary or secondary. However, regardless of the cause, segmentary or diffuse omental necrosis will follow. Preoperative diagnosis is not easy, though abdominal ultrasound and computed tomography (CT) scans may show peculiar features suggestive of omental torsion. Laparoscopic resection of the affected omentum is the treatment of choice. Presently reported was a case of primary omental torsion, in addition to a comprehensive literature review.

摘要

大网膜扭转是急性腹痛的罕见病因。根据病因发病机制,可分为原发性或继发性。然而,无论病因如何,随后都会出现节段性或弥漫性网膜坏死。术前诊断并不容易,尽管腹部超声和计算机断层扫描(CT)可能显示提示网膜扭转的特殊特征。腹腔镜切除受累网膜是首选治疗方法。除全面的文献综述外,本文还报告了一例原发性网膜扭转病例。

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