J.Jpn. Surg. Soc.. 90(8): 1258-1261, 1989
Case report
PRIMARY TORSION OF THE OMENTUM
ーREPORT OF A CASE AND REVIEW OF THE JAPANESE LITERATUREー
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First Department of Surgery, Hokkaido University School of Medicine, Hokkaido, Japan Isao Saiki, Shohei Ohsawa, Hitoshi Arisato, Junichi Uchino, Takashi Kawamata*), Isamu Koshino*), Tetuo Oku*), Kazuo Nitta*) |
A 37-year-old male was admitted with the chief complaint of RLQ pain of 3 day's duration on June 10, 1986. Tenderness and Blumberg's sign were found at Mc Burney's point with leucocytosis of 11,500/mm3. His body temperature was not elevated. Operation was carried out under the diagnosis of suspicion of acute appendicitis.
Laparotomy revealed a dark-red omental mass of 12 x 5 x 1cm which had been formed by torsion (7 times, clock-wise) and a little clear ascites. The omental mass was resected, and appendectomy was also performed. The postoperative course was uneventful.
Eighteen cases including this case in the Japanese literature were reviewed and reported.
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