Secondary omental torsion as a cause of acute abdomen in a patient with long-standing right-sided inguinal hernia
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چکیده
Exploratory laparoscopy revealed necrosis of almost the entire greater omentum with torsion at its base and an indirect inguinal hernia with affected omentum and small bowel inside the hernia sac. The procedure was converted to a middle median laparotomy, and the omentum was ligated and resected at its base, ensuring that the entire necrotic part was removed (Fig. B). At the end, a Lichtenstein hernia repair was performed. The postoperative period was uneventful. The patient was examined every six months for two years, and there were no signs of incisional or inguinal hernia.
منابع مشابه
Left sided omental torsion with left inguinal hernia: a rare entity.
the omentum and the stranding continued inferiorly into left inguinal hernia sac (Fig. 2). The diagnosis of omental torsion with hernia was confirmed on laparotomy. Omental torsion usually occurs on the right side because of greater mobility of the right omentum. A left-sided omental torsion is rare and is difficult to diagnose clinically. Torsion may be primary, or secondary to underlying caus...
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