Omental Torsion and Infarction Secondary to Omental Hernia in the Right Inguinal Canal
10.3348/jksr.2020.81.4.1003
- Author:
Yu Hyun LEE
1
;
Jae Hoon LIM
;
Heon-Kyun HA
Author Information
1. Departments of Radiology, Myongji Hospital, Hanyang University College of Medicine, Goyang, Korea
- Publication Type:Case Report
- From:Journal of the Korean Radiological Society
2020;81(4):1003-1007
- CountryRepublic of Korea
- Language:English
-
Abstract:
Omental torsion secondary to inguinal hernia has rarely been reported as a cause of acute abdominalpain. However, in our case, omental infarction due to prolonged inguinal hernia-associatedomental torsion led to the formation of a large omental mass with marginal fibrosis, andthe patient presented with chronic abdominal pain. A 74-year-old man presented with complaintsof lower abdominal pain for 1 month; subsequently, bilateral inguinal hernias wereidentified through inguinal ultrasonography. CT scans revealed that the greater omentum wastrapped within the right inguinal canal, leading to omental torsion. The greater omentum, distalto the pedicle, appeared as a 30 cm-sized oblong fibrofatty mass in the right lower abdomenand pelvic cavity. Laparoscopic omentectomy with hernia repair was successfully performed.
