Presentation
Gastric LCH present with chronic malena [21] and iron deficiency anemia. Duodenal lesions have presented with anemia unresponsive to iron therapy [22] or with overt upper GI bleeding. [mjdrdypu.org]
Mesenteric cysts present with a variety of clinical presentations, both acute and chronic. [afrjpaedsurg.org]
As a result of right sided torsion, the presentation usually mimics acute cholecystitis, acute appendicitis, cecal diverticulitis and epiploic appendagitis. [tropicalgastro.com]
This case is unusual in its presentation and setting. The patient presented with two rare complications of gastric volvulus, hemoperitoneum and splenic avulsion. [hindawi.com]
It usually presents with acute onset right-sided abdominal pain. The most common risk factors are adult male between 40 and 50 years of age and obesity. [jdrntruhs.org]
Entire Body System
- Soft Tissue Mass
There is no evidence of a soft-tissue mass. Figure 1b. Supine (a) and erect (b) radiographs of the abdomen show multiple dilated loops of small intestine in the upper abdomen. There is no evidence of a soft-tissue mass. Figure 2a. [pubs.rsna.org]
Contrast-enhanced computed tomography (CECT) scan of abdomen [Figure 1] and [Figure 2] showed a large, well-defined soft tissue mass in the lower abdomen extending into the pelvis on the left side measuring 8.4 cm × 6.6 cm × 9.4 cm in size showing contrast [mjdrdypu.org]
Gastrointestinal
- Chronic Abdominal Pain
[…] conditions requiring emergency surgical treatment. [3] Laparoscopy is an accurate modality for the diagnosis of both acute and chronic abdominal pain syndromes and the primary recommended invasive intervention since 1998 in such cases, [4] whenever applicable [sjmms.net]
Two patients presented with chronic symptoms, both with at least a year's duration. One child had chronic abdominal pain with a shorter history of distension. The second child had a one-year history of distension with ascites of unknown cause. [afrjpaedsurg.org]
Laparoscopic resection of an accessory spleen in a patient with chronic lower abdominal pain. Surg Endosc. 2002;16(8):1242–3. Epub 2002/05/23. View Article PubMed Google Scholar Alexander RC, Romanes A. [surgicalcasereports.springeropen.com]
- Peritoneal Disease
Keywords : Acute Abdomen, Mesentery, Omentum, Peritoneal Diseases, Tomography. [casereports.in]
Musculoskeletal
- Hip Pain
Primary Omental Torsion Presenting as Hip Pain and Limp. J Pediatr Gastroenterol Nutr 1999;28:95-96. Eitel GG. Rare omental tumor. NY Med Record 1899;55:715-716. Feo CF, Porcu A, Ginesu GC, Dettori G. [medigraphic.com]
Skin
- Papule
The cutaneous LCH usually occurs in children or young adults as a solitary glistening red papule or nodule that is prone to bleeding and ulceration. [mjdrdypu.org]
Neurologic
- Neglect
A neglected cause of acute abdomen. Eur J Pediatr Surg 2003;13:341-343. Young TH. Primary torsion of the greater omentum. Int Surg 2004;89:72-75. Freed JS, Edelman S. Primary torsion of the greater omentum mimicking duodenal ulcer. [medigraphic.com]
Primary torsion of the greater omentum in children: a neglected cause of acute abdomen. Eur J Pediatr Surg. 2003 Oct;13(5):341-3. PubMed | Google Scholar Poujade, Olivier MD, Ghiles, Eva MD, Senasli, Ali MD. [panafrican-med-journal.com]
Workup
A thorough blood workup reveals normal values in many cases [ 4, 13 ]. The great majority of cases of omental torsion and infarction reported in the literature were segmental involving the right side of the omentum [ 14, 15 ]. [hindawi.com]
Lab workup and ultrasound were unremarkable. Management options were discussed with the patient and diagnostic laparoscopy was planned. [jpma.org.pk]
Treatment
Although cases of conservative treatment of primary torsion have been described in cases of partial volvulus, the treatment of complete torsion of the greater omentum with secondary necrosis is surgical [ 3 ]. [em-consulte.com]
The role of laparoscopy in the diagnosis and treatment of abdominal pain syndromes. Surg Endosc 1998;12:911-4. 5. Morris JH. Torsion of the Omentum. Arch Surg 1932;24:40. 6. Pinedo-Onofre JA, Guevara-Torres L. Omental torsion. [sjmms.net]
Significant updates on bariatric surgery, Barrett's esophagus, endoscopic ultrasound, endosonography, treatment of liver disease, and much more keep you current on the latest advances. [books.google.de]
The aetiology is as yet unknown and the treatment of choice, once diagnosis is established, is resection of the torted omentum. [psasir.upm.edu.my]
Two treatments are predominant: early laparoscopic surgical intervention and conservative medical treatment. [hindawi.com]
Prognosis
[…] quadrant streaks of whirling and concentric pattern (whirl sign) whirling pattern may not be visualized if the axis of rotation is not perpendicular to the transverse scanning plane 1 free fluid may be detected in the peritoneal cavity Treatment and prognosis [radiopaedia.org]
The prognosis for primary omental torsion POT is good with fast post operative recovery and minimal morbidity. [jpma.org.pk]
The prognosis for primary omental torsion is good with fast post operative recovery and minimal morbidity. [wjes.biomedcentral.com]
Prognosis is excellent after surgery. Most children with mesenteric and omental cysts who undergo surgery have no long-term complications. Complications Wound infection—occurs rarely Recurrence—occurs rarely Updated: 11/2016 Author: Romeo C. [eapsa.org]
Etiology
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. [icd10coded.com]
An acute abdomen etiology. Gac Med Mex 2007;143:17-20. 7. Chew DK, Holgersen LO, Friedman D. Primary omental torsion in children. J Pediatr Surg 1995;30:816-7. 8. Floyd MS Jr, Kelly BJ, Udani P, O'Donnell N, Morrison P. [sjmms.net]
Gastroscopy was performed to further elucidate the etiology of the patient’s gastric outlet obstruction. [hindawi.com]
Primary (idiopathic) version is much less common and predisposing factors such as bifid omentum, redundant omental veins are suggested in etiology. [tropicalgastro.com]
Definition / general Complete twisting of loop of bowel around its mesenteric base of attachment, causing obstruction and infarction Terminology Also called torsion (volvulus is a more specific term referring to gastrointestinal torsion) Etiology Potentially [pathologyoutlines.com]
Epidemiology
Epidemiology xxx Diagnosis xxx Clinical Manifestations Acute Gastric Volvulus Cardiovascular Manifestations Hypovolemia/Hypotension (see Hypotension, [[Hypotension]]) Gastrointestinal Manifestations Abdominal/Gastric Distention (with Stomach Filled with [mdnxs.com]
[…] intestines (Figure 2) Figure 2. https://upload.wikimedia.org/wikipedia/commons/4/44/Sobo_1909_564.png Lymphatic tissue : Part of the circulatory system that collects extra fluid (called lymph) from various tissues and delivers it back to the venous system Epidemiology [eapsa.org]
Epidemiology Gastric volvulus occurs in children usually less than 1 year of age and occurs in older adults, those who are older than 50 years. There does not seem to a predilection for gastric volvulus for either gender or race. [statpearls.com]
(See Epidemiology .) See also Anatomy of the Stomach, Volvulus, Disorders of Rotation/Fixation and Midgut Volvulus, Gallbladder Volvulus, Intestinal Volvulus, Intestinal Malrotation, Sigmoid and Cecal Volvulus, and Omental Torsion. [emedicine.medscape.com]
Pathophysiology
We would like to take advantage of this to present a case with a mesentero-axial type marking the difference of the pathophysiology. [websurg.com]
Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology, Diagnosis, Management. 10th ed. Philadelphia: Elsevier Saunders; 2016. 407-25. Oltmann H. Inaugural discussion. Kiel. 1899. [emedicine.medscape.com]
Most cases of secondary torsion occur in patients with inguinal hernias. [5] Pathophysiology In omental torsion, the omentum twists around a pivotal point, usually in a clockwise direction. [thehealthscience.com]
Pathophysiology Gastric volvulus causes a foregut obstruction in the patients. Gastric volvulus may present either acutely, or it may present with intermittent, recurrent, and chronic symptoms. [statpearls.com]
Prevention
It contains fat, prevents friction, and aids in localizing infections. [medical-dictionary.thefreedictionary.com]
[…] content of the hernia, and also on the morphological and structural adjustments occurring within the abdomino-pelvic cavity to accommodate a long standing, non-strangulated and untreated inguinal hernia so as make the surgeons aware and conscious and to prevent [ijcrls.com]
A temporary gastrostomy may be added in addition to hernia repair, to fix the stomach to anterior abdominal to prevent the recurrence. [journalofmas.com]
The patient is appropriately padded to prevent pressure ulcers and neuropathies. [dovepress.com]
[…] injection of a contrast medium into the gastroepiploic vein in the base of the omentum. omentorrhaphy Suture or repair of the omentum. omentosplenopexy A surgical procedure in which the omentum and the spleen are suspended from the abdominal wall to prevent [wordinfo.info]