A CASE OF TORSION OF THE OMENTUM SECONDARY TO A RECURRENT INGUINAL HERNIA

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  • 再発鼠径ヘルニアによる大網捻転症の１例

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Abstract

This paper deals with a case of torsion of the greater omentum secondary to a recurrent inguinal hernia, which is a comparatively rare entity.<br>A 61-year-old man with a 2-day history of intermittent pain in the left lower quadrant of abdomen was seen at the hospital because the pain gradually intensifiied and appetite loss, nausea and vomiting appeared as well. An abdominal CT scan visualized a tumorous lesion mainly composed of fatty tissue on the left side of the abdominal cavity. Vessels in the fatty tissue followed a screw-shaped course and a right inguinal hernia was present. On the same day an emergency operation was performed with a diagnosis of acute abdomen. At surgery the greater omentum was twisted by three turns and the omentum which became necrotic was impacted in the right inguinal hernia. Secondary torsion of the omentum was diagnosed, and the resection of he greater omentum and radical repair for the right inguinal hernia were performed. The postoperative course was uneventful and the patient was discharged from the hospital on the 12th hospital day.

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