) Torsion amentum( گزارش يك مورد پيچيدگي اومنتوم

TORSION OF OMENTUM : A RARE CASE

Torsion of the omentum is a condition in which the organ twists on its long axis, causing vascular compromise. Torsion of omentum is primary and secondary. The primary type is rare and in secondary type, omentum rotates along its long axis between two fix points. A 38 year old man with chief complaint of fever and abdominal pain since 3 days proir to admission was admitted to general surgery service of Afshar hospital. He was ill non toxic and on abdominal examination, a tender mass was palpated, on left lower quadrant of abdomen. This was diagnosed as secondary omental torsion. C.T scan showed a big soft tissue mass on left lower part of pelvis and laparatomy showed torsion of omentum. In literature there are some reports of torsion of omentum, majority of cases are secondary torsion. Overall, this condition is rare. The finding of free serosanguineous fluid at the time of laparatomy in the absence of a pathologic condition in the appendix, gallbladder or pelvic organs should suggest the possibility of omental torsion.