A Case of Omental Torsion Secondary to a Right Inguinal Hernia

概要

論文の詳細を見る
We report a case of omental torsion secondary to a right inguinal hernia. A 29-year-old man who had had an untreated right inguinal hernia was seen at our hospital because of abdominal pain on January 20, 2005. Strong tenderness in the middle abdomen but no peritoneal stimulating symptoms were observed. The scrotum had been distended to the size of an infant's head, but repositioning was possible. Blood studies revealed an elevated leukocyte count and an elevated CRP level. Abdominal computed tomography (CT) showed a right inguinal hernia and a large mass with concentric folds. An emergency operation was performed under a diagnosis of acute abdomen. An omental mass was found associated with a small quantity of bloody ascites. The mass was part of the greater omentum, which had twisted five turns clockwise and entered into right inguinal hernia sac. The greater omentum below the torsion was resected, including a normal portion of the ometum. The right inguinal hernia was repaired using a Kugel-patch ® (M). The patients postoperative course was uneventful, and the patient was discharged on the 10<SUP>th</SUP> postoperative day.
日本腹部救急医学会の論文