Saraç A M, Yeğen C, Aktan A O, Yalin R
Department of Surgery, Marmara University School of Medicine, Istanbul, Turkey.
Surg Today. 1997;27(3):251-3. doi: 10.1007/BF00941655.
A case of primary omental torsion seen in a 26-year-old man is discussed. All signs and symptoms mimicked acute appendicitis. The patient underwent emergency laparotomy in which a normal appendix and serohemorrhagic fluid in the pelvis were observed. The pathological diagnosis was a primary torsioned omentum which was thus excised. This case helps to emphasize the importance of a routine exploration of the abdomen when serohemorrhagic fluid is found at the time of laparotomy in the absence of any pathological condition in the pelvis.
本文讨论了一名26岁男性原发性大网膜扭转的病例。所有体征和症状均酷似急性阑尾炎。患者接受了急诊剖腹手术，术中观察到阑尾正常，盆腔内有血清血性液体。病理诊断为原发性扭转大网膜，遂将其切除。该病例有助于强调在剖腹手术时发现血清血性液体而盆腔无任何病理状况时，常规探查腹部的重要性。
