Please use this identifier to cite or link to this item: http://hdl.handle.net/1822/33007

TitleOmental whirl associated with bilateral inguinal hernia: a case report
Author(s)Silva, Elsa
Carvalho, Ana Raquel Franky Gomes
Rocha, Diogo
Rodrigues, António Mesquita
Pereira, Ricardo
Rodrigues, Ana João
Leão, Pedro
KeywordsAbdominal pain
Omentum
Torsion
Whirl sign
Issue date2014
PublisherBioMed Central (BMC)
JournalJournal of medical case reports
Abstract(s)INTRODUCTION: Torsion of the omentum is a rare cause of abdominal pain. It is clinically similar to common causes of acute surgical abdomen and is often diagnosed during surgery. Inguinal hernia is a common condition but not frequently related with torsion of the omentum. CASE PRESENTATION: A 40-year-old Caucasian man came to our emergency department with abdominal pain of the left quadrant and abdominal distension for 2 days. His medical history included an untreated left inguinal hernia in the last year. Computed tomography revealed densification of mesocolon with left omentum "whirl" component and other signs of omental torsion. During an exploratory laparoscopy, a wide twist of his omentum with necrotic alterations that extended to the bilateral inguinal hernial content was observed. Omentectomy and surgical repair of bilateral inguinal hernia were performed. CONCLUSIONS: Torsion of the omentum is a rare entity and usually presents a diagnostic challenge. The use of abdominal computed tomography can help diagnosing torsion of the omentum preoperatively and, thus, prevents a surgical approach. Nonetheless, some cases of torsion of the omentum require surgical repair. Accordingly, a laparoscopic approach is minimally invasive and efficient in performing omentectomy.
TypeArticle
URIhttp://hdl.handle.net/1822/33007
DOI10.1186/1752-1947-8-239
ISSN1752-1947
Publisher versionhttp://www.jmedicalcasereports.com/content/8/1/239
Peer-Reviewedyes
AccessOpen access
Appears in Collections:ICVS - Artigos em Revistas Internacionais com Referee

Files in This Item:
File Description SizeFormat 
silva e_ j med case rep 2014.pdf3,8 MBAdobe PDFView/Open

Partilhe no FacebookPartilhe no TwitterPartilhe no DeliciousPartilhe no LinkedInPartilhe no DiggAdicionar ao Google BookmarksPartilhe no MySpacePartilhe no Orkut
Exporte no formato BibTex mendeley Exporte no formato Endnote Adicione ao seu ORCID