SECONDARY OMENTAL TORSION – A PREOPERATIVE DIAGNOSTIC DILEMMA. CASE REPORT AND DATA FROM THE SPECIALIZED LITERATURE
Abstract:
Omental torsion is a rare surgical pathology. More frequently, it is associated with an acute
surgical abdomen syndrome, making a preoperative diagnosis rarely possible. Since there are no
pathognomonic signs, imaging techniques are not able to accurately establish the diagnosis. We present
the case of a 45-year-old male patient who was hospitalized for what appeared to be a voluminous left
inguinal hernia, concurrently accusing symptoms of dyspepsia, while the clinical exam revealed the
presence of a tumour formation located on the left abdominal flank, extending towards the left
inguinoscrotal area. Abdominal CT suggested an omental torsion, hypothesis that, despite of arousing
controversy of interpretation, was confirmed intraoperatively. Surgical treatment was limited to
omentectomy and repair of the hernia, with a favourable postoperative evolution.
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