Yachi Ryosuke, Fujiwara Sho, Akaishi Ryujiro, Suzuki Hiroshi, Hoshida Toru
Surgery, Iwate Prefectural Ofunato Hospital, Ofunato, JPN.
Cureus. 2023 Apr 26;15(4):e38165. doi: 10.7759/cureus.38165. eCollection 2023 Apr.
Torsion of the greater omentum is rare and difficult to diagnose preoperatively. There are operative or non-operative treatment options. Operative management is often done for patients with abdominal pain in the right lower quadrant because omental torsion is misdiagnosed as appendicitis. If omental torsion is accurately diagnosed, previous reports suggest that symptoms may improve 12-120 hours after non-operative management of a primary omental torsion. Here, we report a successful case of surgical treatment for torsion of the greater omentum after non-operative treatment was ineffective. Thus, considering the severity of the pain and operative risk, a laparoscopic omentectomy may be feasible to relieve the severe abdominal pain promptly.
大网膜扭转罕见,术前难以诊断。有手术或非手术治疗选择。因大网膜扭转常被误诊为阑尾炎,故对于右下腹痛患者常采取手术治疗。若能准确诊断大网膜扭转,既往报告提示,原发性大网膜扭转非手术治疗后12 - 120小时症状可能改善。在此,我们报告1例非手术治疗无效后行大网膜扭转手术治疗成功的病例。因此,考虑到疼痛的严重程度和手术风险,腹腔镜大网膜切除术可能有助于迅速缓解严重腹痛。