search
for
 About Bioline  All Journals  Testimonials  Membership  News


European Journal of General Medicine
Medical Investigations Society
ISSN: 1304-3897
Vol. 1, No. 3, 2004, pp. 45-48
Bioline Code: gm04032
Full paper language: English
Document type: Research Article
Document available free of charge

European Journal of General Medicine, Vol. 1, No. 3, 2004, pp. 45-48

 en CASE REPORT - VASCULAR PATHOLOGY OF THE GREATER OMENTUM: Report of two cases
Montiel-Jarquin A.J, Sanabria-Macias, Sanchez-Turati J.G, Iturbide-Garcia J, Sandoval-Cruz M.V.H, Ramos-Alvarez G

Abstract

Vascular pathology of the greater omentum is still being very rare, since Bush described the first case in 1896. The objectives are to describe two clinical cases, the first one about right-sided segmental torsion of the greater omentum and the other one about infarction of the greater omentum, which were diagnosed and treated in our hospital; as well as to check pertinent literature. In first case, a forty year old male, thin, with one week evolution: right lower quadrant pain, nausea, hiporexia, a previous prescription of an antiamebic and antispasmodic with no healing, fever, mild leukocytosis, neutrophilia, Simple X ray of the abdomen suggesting acute appendicitis. The patient underwent Exploratory Laparotomy which revealed right-sided segmental torsion of the greater omentum. In second case, a thirty year old female, thin, presenting a six day evolution: pain in the whole right hemiabdomen, difficulty for walking, abdominal distention, hiporexia, fever, bad general condition, with a previous prescription based on metamizol, ampicilin with no healing, mild leukocytosis, neutrophilia and simple X-ray of the abdomen also suggesting acute appendicitis. This patient was also surgically treated with the diagnosis of right-sided segmental infarction of the greater omentum. In conclusion, vascular pathology of the Greater Omentum is still being very rare. Its clinical presentation is nonspecific and forms a great part of pathology which causes right lower quadrant pain, commonly confused with acute appendicitis. Despite medical breakthrough its diagnosis is difficult. The treatment is surgical, evolution is good if the treatment is adequate, and prognosis is favorable.

Keywords
Infarction, right-sided segmental torsion, greater omentum

 
© Copyright 2004 - Medical Investigations Society
Alternative site location: http://www.ejgm.org

Home Faq Resources Email Bioline
© Bioline International, 1989 - 2024, Site last up-dated on 01-Sep-2022.
Site created and maintained by the Reference Center on Environmental Information, CRIA, Brazil
System hosted by the Google Cloud Platform, GCP, Brazil