April 1955

Idiopathic Omental Torsion Simulating Appendicitis

Author Affiliations

Brooklyn; U.S.A.F.
From the Surgical Service of the 3750th U.S. A.F. Hospital, Sheppard Air Force Base, Texas.

AMA Arch Surg. 1955;70(4):564-565. doi:10.1001/archsurg.1955.01270100090015

Infarction of the omentum as a primary disease or secondary to idiopathic torsion is considered a rare entity. Idiopathic torsion of the omentum consists of an omental twist in the absence of any recognizable etiologic factor such as a hernia, inflammatory process, or adhesions. The syndrome is clinically indistinguishable from acute appendicitis when the infarcted segment lies in the right lower abdominal quadrant. Between March 1, 1953, and March 1, 1954, 145 laparotomies were performed at the 3750th U. S. A. F. Hospital for acute appendicitis: in two cases, infarction of the omentum secondary to primary torsion was found.

REPORT OF CASES  Case 1 (Hosp. reg. no. 37 896).—G. H., a 19-year-old white airman, was admitted May 22, 1953, with a complaint of moderately severe pain in the right lower abdominal quadrant of 36 hours' duration. Although marked anorexia was present, there had been no nausea or vomiting. Two similar

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