Omental torsion with multiple congenital anomalies

Prasad MBV, Sanjeeva Rao K

Pdf Page Numbers :- 164-168

 ¹Department of Surgical Gastroenterology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India

*Corresponding authors: Dr. MBV. Prasad, FRCS (UK), MS (PGI, Chandigarh), Consultant Surgical Gastroenterologist, Department of Gastroenterology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Email: bmallipudi@hotmail.com and Dr. Sanjeev, Department of Gastroenterology, Krishna Institute of Medical Sciences, Minister Road, Secunderabad-500003, Telangana, India. Email: drsanjeevkommoju@gmail.com

Received 08 July 2016; Revised 23 August 2016; Accepted 01 September 2016; Published 08 September 2016

Citation: Prasad MBV, Sanjeeva Rao K. Omental torsion with multiple congenital anomalies. J Med Sci Res. 2016; 4(4):164-168. DOI: http://dx.doi.org/10.17727/JMSR.2016/4-036

Copyright: © 2016 Prasad MBV, et al. Published by KIMS Foundation and Research Center. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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Abstract

 Aim: We report two rare cases with complete omental torsion with right sided inguinal hernia, maldescended testis and Meckel’s diverticulum along with review of literature.

Patients: Two patients presenting with acute abdomen and inguinal hernia, diagnosed preoperatively as omental torsion and undescended testis and Meckel’s diverticulum were managed operatively with omentectomy, hernioplasty and orchidectomy.

Results: Both patients recovered well postoperatively and have remained asymptomatic.

Conclusion: Omental torsion is one of the rare causes of acute abdomen and may mimic various other causes. It is quite often possible to diagnose preoperatively by USG and CT scan abdomen. Symptomatic patients with preoperative diagnosis need omentectomy preferably through laparoscopy.

Keywords: Omental torsion; inguinal hernia; maldescended testis; meckel’s diverticulum; laparoscopic omentectomy