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间歇性网膜扭转——复发性腹痛的罕见病因?

Intermittent omental torsion--an unusual cause of recurrent abdominal pain?

作者信息

Parr N J, Crosbie R B

机构信息

Department of Surgery, Arrowe Park Hospital, Wirral, UK.

出版信息

Postgrad Med J. 1989 Feb;65(760):114-5. doi: 10.1136/pgmj.65.760.114.

DOI:10.1136/pgmj.65.760.114
PMID:2780461
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2429113/
Abstract

A case of haemoperitoneum arising from an omental haematoma is described. Histology suggests that this resulted from an omental torsion. The omentum, however, was not torted at the time of laparotomy. Furthermore, there was a history of similar episodes of pain over the previous eighteen months. This suggests that spontaneous derotation of an omental torsion may occur, and may be an unusual cause of recurrent abdominal pain.

摘要

本文描述了一例由网膜血肿引起的腹腔积血病例。组织学检查提示这是由网膜扭转所致。然而,剖腹手术时网膜并未扭转。此外,患者在过去18个月中有类似的腹痛发作史。这表明网膜扭转可能会自发复位,且可能是复发性腹痛的一个不常见原因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19da/2429113/eb3c53884346/postmedj00170-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19da/2429113/eb3c53884346/postmedj00170-0053-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/19da/2429113/eb3c53884346/postmedj00170-0053-a.jpg

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Omental torsion.网膜扭转

本文引用的文献

1
PRIMARY IDIOPATHIC TORSION OF THE OMENTUM. REVIEW OF THE LITERATURE AND REPORT OF SIX CASES.原发性特发性大网膜扭转。文献综述及6例报告
Arch Surg. 1964 Jun;88:974-81. doi: 10.1001/archsurg.1964.01310240070014.
J Clin Diagn Res. 2014 Jun;8(6):NE01-2. doi: 10.7860/JCDR/2014/9024.4479. Epub 2014 Jun 20.
4
Omental whirl associated with bilateral inguinal hernia: a case report.与双侧腹股沟疝相关的网膜扭转:一例报告
J Med Case Rep. 2014 Jul 1;8:239. doi: 10.1186/1752-1947-8-239.
5
Primary Omental Torsion Is a Diagnostic Challenge in Acute Abdomen-a Case Report and Literature Review.原发性大网膜扭转是急腹症诊断中的一项挑战——病例报告及文献综述
Indian J Surg. 2013 Aug;75(4):255-7. doi: 10.1007/s12262-013-0807-6. Epub 2013 Jan 19.
6
The use of minimally invasive surgery in the management of idiopathic omental torsion: The diagnostic and therapeutic role of laparoscopy.微创手术在特发性大网膜扭转治疗中的应用:腹腔镜检查的诊断和治疗作用
Int J Surg Case Rep. 2011;2(6):125-7. doi: 10.1016/j.ijscr.2011.02.012. Epub 2011 Mar 31.
7
A diagnostic challenge: primary omental torsion and literature review - a case report.诊断难题:原发性大网膜扭转及文献复习——病例报告
World J Emerg Surg. 2009 Nov 18;4:40. doi: 10.1186/1749-7922-4-40.
8
Primary torsion of the greater omentum.大网膜原发性扭转
J Natl Med Assoc. 2000 Jun;92(6):306-8.
9
Primary torsion of the omentum mimicking acute appendicitis: report of a case.酷似急性阑尾炎的原发性大网膜扭转:一例报告
Surg Today. 1997;27(3):251-3. doi: 10.1007/BF00941655.
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Omental bleeding with spontaneously derotated torsion--a case report.
Jpn J Surg. 1991 Nov;21(6):700-2. doi: 10.1007/BF02471059.