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FI 2016

© Thomson Reuters, Journal Citation Reports, 2016

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© Thomson Reuters, Journal Citation Reports, 2016

Gastroenterol Hepatol 2002;25:493-6 - DOI: 10.1016/S0210-5705(02)70298-7
Torsión de epiplón: las técnicas de imagen pueden evitar intervenciones innecesarias
Omental torsion: imaging techniques can prevent unnecessary surgical interventions
J. Miguel Perellóa, J.L. Aguayo Albasinib, V. Soria Aledoc,, , J. Aguilar Jiménezc, B. Flores Pastorc, M.F. Candel Arenasc, E. Girela Baenad
a Médico Interno Residente Aparato Digestivo. Hospital General Universitario J.M. Morales Meseguer. Murcia. España
b Jefe de Servicio de Cirugía General Aparato Digestivo. Hospital General Universitario J.M. Morales Meseguer. Murcia. España
c F.E.A. Cirugía General Aparato Digestivo. Hospital General Universitario J.M. Morales Meseguer. Murcia. España
d F.E.A. Radiodiagnóstico. Servicio de Cirugía General Aparato Digestivo. Hospital General Universitario J.M. Morales Meseguer. Murcia. España
Recibido 21 enero 2002, Aceptado 17 abril 2002

Segmentary infarction of the greater omentum produces a clinical profile of acute abdomen. To date, the cause has been discovered during surgery. Greater use of ultrasonography and computed tomography (CT) in the emergency department could lead to preoperative diagnosis. The aim of this study was to describe the advisability of avoiding surgery in selected patients.

Patients and method

A series of nine adult patients (six men and three women), aged between 18 and 50 years, with a final diagnosis of primary omental torsion were reviewed. The first three patients underwent surgery: two underwent laparotomy for suspected acute appendicitis and the third underwent laparoscopy with a diagnosis of non-specific acute abdomen. The six remaining patients, who received a diagnosis of primary omental torsion or infarction based on ultrasonography and CT, underwent conservative treatment. The patients who did not undergo surgery were subsequently evaluated with imaging techniques to confirm resolution.


In the first three patients, symptoms were resolved by resection of the affected omental section. In the six remaining patients, a 3-6 cm mass of soft tissue in the paraumbilical region, between the rectal sheath and the transverse colon, was found. The lesions were hyperechoic or of mixed attenuation. These findings, together with the absence of other radiological and clinical signs, led to the preoperative diagnosis. Treatment was conservative and a fast recovery, observed both clinically and radiologically, was made.


Surgery should be avoided in selected cases of acute abdomen diagnosed as primary omental torsion.

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D.L. Mcwhinnie
The Omentum
Oxford Textbook of Surgery Volume I, pp. 1330-1331
J.T. Adams
Primary torsion of the omentum
Am J Surg, 126 (1973), pp. 102
P.K. Karak,S.H. Millmond,D. Neumann,H.T. Yamase,G. Ramsby
Omental infarction: report of three cases and rewiew of the literature
Abdom Imaging, 23 (1998), pp. 96-98
C.P. Kimber,P. Westmore,J.M. Hutson,J.H. Kelly
Primary omental torsion in children
J Paediatr Child Healt, 32 (1996), pp. 22-24
A. Louredo Méndez,A. Alonso Poza,A. Muñoz-Calero Peregrín,J. De Tomás Palacios,M. Trinchet Hernández
Omental spontaneous segmentary infaction
Rev Esp Enferm Digest, 91 (1999), pp. 149-156
Puylaert JBC
Right-sided segmental infarction of the omentum: clinical, ultrasound and CT findings
D.I. Stella,T.G. Schelleman
Segmental infarction of the omentum secondary to torsion: ultrasound and computed tomography diagnosis
Australasian Radiology, 44 (2000), pp. 212-215
A.C. Van Breda Vriesman,P.N. Lohle,E.G. Coerkamp,J.B. Puylaert
Infarction of omentum and epiploic appendage: diagnosis, epidemiology and natural history
Eur Radiol, 9 (1999), pp. 1886-1892
F. Goti,R. Hollmann,R. Stieger,J. Lange
Idiopatic segmental infarction of the greater omentum successfully treated by laparoscopic: report of case
Surg Today, 30 (2000), pp. 451-453 http://dx.doi.org/10.1007/s005950050623
H. Steyaert,J.S. Valla
Laparoscopic approach to primary infarction of the greater omentum
Surg Laparos Endosc, 7 (1997), pp. 97-98
Correspondencia: Dr. V. Soria Aledo. Calle Buenos Aires, 17, 2.°. 30150 La Alberca. Murcia.
Copyright © 2002. Elsevier España, S.L.