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Torsion of the lesser omentum treated by laparoscopic surgery Hiroshi KUBO 1 , Kenji KITAHARA 1 , Chieko HOTTA 1 , Hiroki KOGA 1 , Atsushi MIYOSHI 1 , Toshiya TANAKA 1 1Department of Surgery, SAGA-KEN Medical Centre KOSEIKAN Keyword: 小網捻転症 , 小網梗塞 , 腹腔鏡下手術 pp.359-366
Published Date 2018/5/15
DOI https://doi.org/10.11477/mf.4426200561
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A 40-year-old man was referred to our hospital with acute cholecystitis diagnosed based on pain in the right hypochondrium and fever. A fatty inflamed mass was found on abdominal enhanced CT between the posterior of the left hepatic lobe and prepyloric area of the stomach. Emergency surgery was performed laparoscopically based on the diagnosis of lesser omental torsion. Observation under laparoscopy revealed a twisted lesser omentum covered with the greater omentum. After releasing the omentum, the twisted lesser omentum was resected. The postoperative course was uneventful and the patient was discharged on the 6th postoperative day. Torsion of the lesser omentum is a very rare disease ; however, preoperative diagnosis is possible if characteristic findings are confirmed on abdominal enhanced CT. Laparoscopic surgery was useful to confirm the diagnosis and for treatment of the lesser omentum torsion.


Copyright © 2018, 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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