Abdominal Omental Torsion in Acute Pain: Case Report
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Author:
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SARA RAVANGARD, GORDAFARIN NIKBAKHT, HODA MOUSAVI, KEIANOUSH KARAMI, SEYED SAADAT GHOLAMI
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Abstract:
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Background and Aim: Preoperative diagnosis of acute abdomen is not necessary, but the main
responsibility of the surgeon in dealing with acute abdomen is to determine the need for laparotomy. However, in the
case of localized peritonitis, such as acute appendicitis, clinical presentation and physical examination, it is usually so
diagnostic that the surgeon is completely directed towards the final diagnosis. On the other hand, differential
diagnosis of acute appendicitis is also very much and worthy of attention because finding a natural appendix in a
disease that has been surgically diagnosed with acute appendicitis is the beginning of a search for other causes of
abdominal pain. In the meantime, omental torsion is a relatively rare diagnosis that usually goes unnoticed. By
noticing this diagnosis and paying attention to its almost constant prognosis (serum -serous fluid exudation as soon as
the peritoneum is opened), we can prevent the wrong diagnosis and treatment. Patient introduction: In this article, a
12-year-old boy with acute abdomen was diagnosed as an appendectomy. Ultimately, the omental torsion was the
cause of abdominal pain. Conclusion: By recognizing this diagnosis and paying attention to its almost constant
manifestation, it is possible to prevent the diagnosis and treatment from being erroneous.
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Keyword:
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Pain, Omental Torsion, Acute abdominal pain.
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EOI:
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DOI:
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