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Published in: World Journal of Emergency Surgery 1/2011

Open Access 01-12-2011 | Review

Primary omental torsion (POT): a review of literature and case report

Authors: Jacopo Andreuccetti, Cecilia Ceribelli, Ottavia Manto, Massimo Chiaretti, Paolo Negro, Domenico Tuscano

Published in: World Journal of Emergency Surgery | Issue 1/2011

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Abstract

Eitel first described omental torsion in 1899, since then, fewer than 250 cases have been reported. Although omental torsion is rarely diagnosed preoperatively, knowledge of this pathology is important to the surgeon because it mimics the common causes of acute surgical abdomen. For this reason, in the absence of diagnosed preexisting abdominal pathology, including cysts, tumors, foci of intra-abdominal inflammation, postsurgical wounds or scarring, and hernial sacs, omental torsion still can represent a surprise. Explorative laparotomy represents the diagnostic and definitive therapeutic procedure. Presently laparoscopy is the first choice procedure.
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Literature
1.
go back to reference Eitel GG: Rare omental torsion. New York Med Rec. 1899, 55: 715. Eitel GG: Rare omental torsion. New York Med Rec. 1899, 55: 715.
3.
go back to reference Adam JT: Primary torsion of omentum. Am J Surg. 1973, 126: 102-105. 10.1016/S0002-9610(73)80104-7.CrossRef Adam JT: Primary torsion of omentum. Am J Surg. 1973, 126: 102-105. 10.1016/S0002-9610(73)80104-7.CrossRef
4.
go back to reference Barcia PJ, Nelson TG: Primary segmental infarction of omentum with and without torsion. Am J Surg. 1973, 126: 328-331. 10.1016/S0002-9610(73)80119-9.CrossRefPubMed Barcia PJ, Nelson TG: Primary segmental infarction of omentum with and without torsion. Am J Surg. 1973, 126: 328-331. 10.1016/S0002-9610(73)80119-9.CrossRefPubMed
5.
go back to reference Barsky E, Schwartz AM: Primary Omental Torsion. Am. J. Surg. 1937, 38: 356-10.1016/S0002-9610(37)90447-1.CrossRef Barsky E, Schwartz AM: Primary Omental Torsion. Am. J. Surg. 1937, 38: 356-10.1016/S0002-9610(37)90447-1.CrossRef
6.
go back to reference Karayiannakis AJ, Polychronidis A, Chatzigianni E, Simopoulos C: Primary torsion of the great Omentum. Report of a case. Surgery Today. 2002, 32: 913-915.PubMed Karayiannakis AJ, Polychronidis A, Chatzigianni E, Simopoulos C: Primary torsion of the great Omentum. Report of a case. Surgery Today. 2002, 32: 913-915.PubMed
7.
go back to reference Cianci R, Filippone A, Basilico R, Storto M: Idiopatic segmental infarction of the greater Omentum diagnosed by unenhanced multidetector-row CT and treated successfully by laparoscopy. Emerg. Radiol. 2008, 15: 51-56. 10.1007/s10140-007-0631-z.CrossRefPubMed Cianci R, Filippone A, Basilico R, Storto M: Idiopatic segmental infarction of the greater Omentum diagnosed by unenhanced multidetector-row CT and treated successfully by laparoscopy. Emerg. Radiol. 2008, 15: 51-56. 10.1007/s10140-007-0631-z.CrossRefPubMed
8.
go back to reference Naffa LN, Shebb NS, Haddad M: CT finding of omental torsion and infarction: case report and review of the literature. J. Clinical Imaging. 2003, 27: 116-118. 10.1016/S0899-7071(02)00524-7.CrossRef Naffa LN, Shebb NS, Haddad M: CT finding of omental torsion and infarction: case report and review of the literature. J. Clinical Imaging. 2003, 27: 116-118. 10.1016/S0899-7071(02)00524-7.CrossRef
9.
go back to reference Steinauer-Gebauer AM, Yee Y, Lutolf ME: Torsion of the greater omentum with infarction: the vascular sign. Clinical Radiol. 2001, 999-1002. 10.1053/crad.2001.0698. Steinauer-Gebauer AM, Yee Y, Lutolf ME: Torsion of the greater omentum with infarction: the vascular sign. Clinical Radiol. 2001, 999-1002. 10.1053/crad.2001.0698.
10.
go back to reference Leitner MJ, Jordan CG, Spinner MH, Reese EC: Torsion, infarction and hemorrhage of the omentum as a cause of acute abdominal distress. Ann Surg. 1952, 135: 103-110. 10.1097/00000658-195201000-00014.PubMedCentralCrossRefPubMed Leitner MJ, Jordan CG, Spinner MH, Reese EC: Torsion, infarction and hemorrhage of the omentum as a cause of acute abdominal distress. Ann Surg. 1952, 135: 103-110. 10.1097/00000658-195201000-00014.PubMedCentralCrossRefPubMed
11.
go back to reference Young TH, Lee HS, Tang HS: Primary torsion of the greater omentum. Int Surg. 2004, 89 (2): 72-5.PubMed Young TH, Lee HS, Tang HS: Primary torsion of the greater omentum. Int Surg. 2004, 89 (2): 72-5.PubMed
12.
go back to reference Barbier C, Pradoura JM, Tortuyaux JM: Diagnostic imaging of idiopathic segmental infarct of the greater omentum. Diagnostic and physiopathologic considerations. J. Radiol. 1998, 79: 1485. Barbier C, Pradoura JM, Tortuyaux JM: Diagnostic imaging of idiopathic segmental infarct of the greater omentum. Diagnostic and physiopathologic considerations. J. Radiol. 1998, 79: 1485.
13.
go back to reference Wiesner W, Keplan V, Bongartz G: Omental infarction associated with right sided heart failure. Eur. Radiol. 2000, 10 (7): 1130-1132. 10.1007/s003309900276.CrossRefPubMed Wiesner W, Keplan V, Bongartz G: Omental infarction associated with right sided heart failure. Eur. Radiol. 2000, 10 (7): 1130-1132. 10.1007/s003309900276.CrossRefPubMed
14.
go back to reference Stella DL, Schelleman TG: Segmental inferction of the omentum secondary to torsion: ultrasound and computed tomography diagnosys. Australas Radiol. 2000, 44: 212-215. 10.1046/j.1440-1673.2000.00787.x.CrossRefPubMed Stella DL, Schelleman TG: Segmental inferction of the omentum secondary to torsion: ultrasound and computed tomography diagnosys. Australas Radiol. 2000, 44: 212-215. 10.1046/j.1440-1673.2000.00787.x.CrossRefPubMed
15.
go back to reference Balthazar EJ, Lefkowitz RA: Left sided omental infarction with associated omental abscess: CT diagnosis. J Comput Assist Tomogr. 1993, 17: 375-381. Balthazar EJ, Lefkowitz RA: Left sided omental infarction with associated omental abscess: CT diagnosis. J Comput Assist Tomogr. 1993, 17: 375-381.
16.
go back to reference Puylaert JB: Right sided segmental infarction of the omentum: clinical, US and CT findings. Radiology. 1992, 185: 169-172.CrossRefPubMed Puylaert JB: Right sided segmental infarction of the omentum: clinical, US and CT findings. Radiology. 1992, 185: 169-172.CrossRefPubMed
17.
go back to reference Saito N, Yamazaki T, Hanawa M, Koyama T: A case of primary torsion of the greater omentum. J Jpn Surg Association. 2004, 65: 810-813.CrossRef Saito N, Yamazaki T, Hanawa M, Koyama T: A case of primary torsion of the greater omentum. J Jpn Surg Association. 2004, 65: 810-813.CrossRef
18.
go back to reference Breunung N, Strauss P: A diagnostic challenge: primary omental torsion and literature review - a case report. World J Emerg Surg. 2009, 4: 40-10.1186/1749-7922-4-40.PubMedCentralCrossRefPubMed Breunung N, Strauss P: A diagnostic challenge: primary omental torsion and literature review - a case report. World J Emerg Surg. 2009, 4: 40-10.1186/1749-7922-4-40.PubMedCentralCrossRefPubMed
19.
go back to reference Matheos E, Vasileos K, Fragkiskos F, Kostas F, Kostac C: Primary omental torsion: report of two cases. Surg Today. 2009, 36: 64-67. Matheos E, Vasileos K, Fragkiskos F, Kostas F, Kostac C: Primary omental torsion: report of two cases. Surg Today. 2009, 36: 64-67.
20.
go back to reference Ayodeji N, Whitney Mc.B, Gustavo S: Primary omental infarct: conservative US operative management in the era of ultrasound, computerized tomography and laparoscopy. J Pediatr Surg. 2009, 44: 953-956. 10.1016/j.jpedsurg.2009.01.032.CrossRef Ayodeji N, Whitney Mc.B, Gustavo S: Primary omental infarct: conservative US operative management in the era of ultrasound, computerized tomography and laparoscopy. J Pediatr Surg. 2009, 44: 953-956. 10.1016/j.jpedsurg.2009.01.032.CrossRef
21.
go back to reference Albuz O, Ersoz N, Kilbas Z, Ozerhan Hakki, Harlak A, Altinel O, Yigit T: Primary torsion of omentum: rare case of acute abdomen. Am J Emerg Med. 2010, 28: 115-117. 10.1016/j.ajem.2009.03.013.CrossRefPubMed Albuz O, Ersoz N, Kilbas Z, Ozerhan Hakki, Harlak A, Altinel O, Yigit T: Primary torsion of omentum: rare case of acute abdomen. Am J Emerg Med. 2010, 28: 115-117. 10.1016/j.ajem.2009.03.013.CrossRefPubMed
22.
go back to reference Sakamoto N, Ohishi T, Kurisu S, Horiguchi H, Arai Y, Sugimura K: Omental torsion. Radiat Med. 2006, 24: 373-377. 10.1007/s11604-006-0036-z.CrossRefPubMed Sakamoto N, Ohishi T, Kurisu S, Horiguchi H, Arai Y, Sugimura K: Omental torsion. Radiat Med. 2006, 24: 373-377. 10.1007/s11604-006-0036-z.CrossRefPubMed
23.
go back to reference Costi R, Cecchini S, Pardone B, Violi V, Roncaroni L, Sarli L: Laparoscopic Diagnosis and Treatment of Primary Torsion of the Greater Omentum. Surg Laparosc Endosc Percutan Tech. 2008, 18 (1): 102-105. 10.1097/SLE.0b013e3181576902.CrossRefPubMed Costi R, Cecchini S, Pardone B, Violi V, Roncaroni L, Sarli L: Laparoscopic Diagnosis and Treatment of Primary Torsion of the Greater Omentum. Surg Laparosc Endosc Percutan Tech. 2008, 18 (1): 102-105. 10.1097/SLE.0b013e3181576902.CrossRefPubMed
24.
go back to reference Poujade O, Ghiles E, Senasli A: Primary torsion of the greater omentum: case report- Review of literature. Diagnosis cannot always be performed before surgery. Surg. Laparosc Endosc Percutan Tech. 2007, 17: 54-55. 10.1097/01.sle.0000213763.40429.f6.CrossRefPubMed Poujade O, Ghiles E, Senasli A: Primary torsion of the greater omentum: case report- Review of literature. Diagnosis cannot always be performed before surgery. Surg. Laparosc Endosc Percutan Tech. 2007, 17: 54-55. 10.1097/01.sle.0000213763.40429.f6.CrossRefPubMed
25.
go back to reference Sasmal PK, Tania O, Patle N, Khanna S: Omental torsion and infarction: a diagnostic dilemma and its laparoscopic management. J Laparoendosc Adv Surg Tech. 2010, 20: 225-229. 10.1089/lap.2009.0287.CrossRef Sasmal PK, Tania O, Patle N, Khanna S: Omental torsion and infarction: a diagnostic dilemma and its laparoscopic management. J Laparoendosc Adv Surg Tech. 2010, 20: 225-229. 10.1089/lap.2009.0287.CrossRef
26.
go back to reference Goti F, Hollmann R, Stieger R: Idiopathic segmental infarction of the greater omentum successfully treated by laparoscopy: report of a case. Surg. Today. 2000, 30: 451-453. 10.1007/s005950050623.CrossRefPubMed Goti F, Hollmann R, Stieger R: Idiopathic segmental infarction of the greater omentum successfully treated by laparoscopy: report of a case. Surg. Today. 2000, 30: 451-453. 10.1007/s005950050623.CrossRefPubMed
Metadata
Title
Primary omental torsion (POT): a review of literature and case report
Authors
Jacopo Andreuccetti
Cecilia Ceribelli
Ottavia Manto
Massimo Chiaretti
Paolo Negro
Domenico Tuscano
Publication date
01-12-2011
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2011
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/1749-7922-6-6

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