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Laparoscopic surgery for secondary omental torsion due to an inguinal hernia : a report of a case Takeshi UEDA 1 , Tomoyoshi TAKAYAMA 1 , Hiroyuki KUGE 1 , Hisanori KASHIZUKA 1 , Kiyoshi KAMADA 1 , Mitsutoshi TATSUMI 1 1Department of Surgery, Hoshigaoka Koseinenkin Hospital Keyword: 大網捻転症 , 腹腔鏡下手術 , CT pp.643-648
Published Date 2007/12/15
DOI https://doi.org/10.11477/mf.4426100122
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 A 59 year-old man complaining of right lower abdominal pain, was referred to our hospital from a neighboring doctor diagnosed as having an incarcerated inguinal hernia. Abdominal computed tomography(CT)showed a low density mass with a concentric strands of high intensity area in the right flank, extending to the Douglas pouch and the right inguinal hernia sac. A diagnosis of secondary omental torsion associated with a right inguinal hernia has made The patient underwent a laparoscopic surgery. Surgical findings showed that the right portion of the greater omentum was dark-red in color ; the proximal side was twisted and the distal side adhered near the inguinal hernia ring. Minilaparotomy was performed, releasing the adhesion and resecting twisted omentum. Although omental torsion is a rare entity, preoperative diagnosis was possible because of the characteristic CT findings. We concluded that laparoscopic surgery is a very effective method for making a definitive diagnosis and resecting of the twisted omentum.


Copyright © 2007, JAPAN SOCIETY FOR ENDOSCOPIC SURGERY All rights reserved.

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電子版ISSN 2186-6643 印刷版ISSN 1344-6703 日本内視鏡外科学会

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