Abstract

RODRIGUEZ GONZALEZ, Agustín; SEGOVIA LOHSE, Herald René; ZARATE CENTURION, Darío  and  ARZAMENDIA, Marina. Acute abdomen due to torsion of greather omentun simulating acute appendicitis. An. Fac. Cienc. Méd. (Asunción) [online]. 2023, vol.56, n.3, pp.95-98. ISSN 1816-8949.  https://doi.org/10.18004/anales/2023.056.03.95.

Torsion of the greater omentum is a rare pathology with non-specific symptoms, so historically its diagnosis is made in the operating room since it simulates pathologies such as appendicitis or cholecystitis. Auxiliary diagnostic methods such as ultrasound or tomography are of very useful for the suspicion of this pathology, although it does not have pathognomonic signs of the disease, the images associated with the patient's symptoms can lead to a precise diagnosis. We present the case of a young male patient who came to the emergency department due to moderately intense colic-like abdominal pain in the right iliac fossa, accompanied by a feverish sensation, without alterations in blood tests, without any finding of value in the abdominal ultrasound, due to the persistence of pain and fever, a contrast-enhanced tomography was performed in which a filling of the omentum was observed, undergoing an exploratory laparoscopy with the discovery of a torsion of the greater omentum.

Keywords : greater omentum; appenditis; laparoscopic..

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