Primary omental torsion with clinical masquerading as acute appendicitis and radiological key for diagnosis.

Autor:	Khai NX; Department of Interventional Radiology, Radiology Center, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam., Dung NV; Department of Radiology, 108 Military Central Hospital, Hanoi, Vietnam., Tien TD; Department of Pathology, Vietnam Military Medical University, 103 Military Hospital, Hanoi, Vietnam., Cong LDT; Department of Radiology and Endoscopy, Phu Quoc Medical Center, 30 Thang 4 Street, Duong Dong Town, Phu Quoc Island, Kiengiang. Vietnam., Van Giang T; Department of Radiology and Endoscopy, Phu Quoc Medical Center, 30 Thang 4 Street, Duong Dong Town, Phu Quoc Island, Kiengiang. Vietnam., Nhi NTY; Department of Radiology and Endoscopy, Phu Quoc Medical Center, 30 Thang 4 Street, Duong Dong Town, Phu Quoc Island, Kiengiang. Vietnam., Minh NT; Department of Interventional Radiology, Radiology Center, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam.; Department of Gastroenterology and Hepatology, 103 Military Hospital, Vietnam Military Medical University, Hanoi, Vietnam.
Jazyk:	angličtina
Zdroj:	Radiology case reports [Radiol Case Rep] 2024 Sep 07; Vol. 19 (12), pp. 5648-5652. Date of Electronic Publication: 2024 Sep 07 (Print Publication: 2024).
DOI:	10.1016/j.radcr.2024.08.090
Abstrakt:	Omental torsion is a medical condition characterized by the twisting of the omentum along its longitudinal axis, which leads to compromised blood flow. This condition is rarely diagnosed before surgery and can present symptoms similar to other causes of acute surgical abdomen. This report details a case of primary omental torsion initially suspected to be acute appendicitis. The patient was admitted to the hospital with symptoms of lower right quadrant abdominal pain and mild fever. Computed tomography imaging revealed a twisted mass of fatty tissue with surrounding fat stranding changes, but no signs of appendicitis were found, indicating omental torsion. The patient underwent surgery to remove the twisted and necrotic omentum, leading to an improvement in symptoms. This case highlights the challenges in diagnosis and the crucial role of computed tomography imaging in managing this rare condition. (© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze:	MEDLINE
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