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June 1964

Primary Idiopathic Torsion of the Omentum: Review of the Literature and Report of Six Cases

Author Affiliations

Fellow of the American College of Surgeons (Dr. Mainzer); Resident Department of Surgery (Dr. Simoes).; From the departments of surgery of The State University of New York and The Long Island College Hospital.

Arch Surg. 1964;88(6):974-983. doi:10.1001/archsurg.1964.01310240070014

The first published report establishing torsion of the omentum as a clinical entity is generally credited to Pierre de Marchette53 in 1851. This report, and others which followed, were concerned with what is currently classified as a secondary type of torsion related to pre-existing intra-abdominal adhesions, hernias—especially inguinal—and other inflammatory foci. The first report of a primary torsion of the omentum unrelated to any other intra-abdominal lesion was recorded by Eitel in 1899.27 While additional scattered reports have since appeared, the comprehensive reviews and additions of clinical material to the early surgical literature reported by McWhorter57 in 1928, D'Errico23,24 in 1930, Smyth84 in 1930, Jeffries48 in 1931, Morris63 in 1932, Barsky and Schwartz5 in 1937, and Eliason and Johnson28 in 1939 are especially noteworthy.

Sterling and Goldsmith86 in 1951 established the incidence of primary torsion of the omentum to be

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