Unexpected acute abdominal pain during pregnancy caused
by primary omental torsion diagnosed laparoscopically:
A case report and literature review

FIRAT, Necattin; Mantoglu, Baris; Altintoprak, Fatih; Yıgıt, Merve

doi:10.14744/tjtes.2020.96898

Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review

Barış MANTOĞLU, (Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Sakarya, Türkiye)

Fatih ALTINTOPRAK, (Sakarya Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı, Sakarya, Türkiye)

Merve YİĞİT, (Sakarya Üniversitesi Eğitim ve Araştırma Hastanesi, Genel Cerrahi Kliniği, Sakarya, Türkiye)

Necattin FIRAT (Sakarya Üniversitesi Tıp Fakültesi Genel Cerrahi Anabilim Dalı, Sakarya-Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2021 Cilt: 27 Sayı: 6 Sayfa Aralığı: 706 - 709 Metin Dili: İngilizce DOI: 10.14744/tjtes.2020.96898 İndeks Tarihi: 09-07-2022

Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review

Öz:

Primary omental torsion (POT) is a rarely encountered clinical condition as an acute abdominal pathology. POT is more prevalent in males than females. The diagnosis of POT is challenging, and pregnancy initiates the diagnosis more difficult and essential. The fact that radiological methods such as computed tomography cannot be used during pregnancy constitutes the biggest problem in diagnosis. At this point, diagnostic laparoscopy plays a significant role in the diagnosis and treatment of acute abdominal pathologies in pregnant patients. The diagnosis of a 28-week pregnant woman who was admitted to our emergency department with the aggravation of abdominal pain was not clarified by abdominal ultrasound so the patient was diagnosed with POT by diagnostic laparoscopy. Conservative follow-up plays an important role in pregnant patients, and the poor progress of the patient in both laboratory and physical examination leads diagnostic laparoscopy to an important point when the limitation of imaging methods is added.

Anahtar Kelime:

Laparoskopik olarak tanı konulan primer omental torsiyonun neden olduğu gebelik sırasında beklenmedik akut karın ağrısı: Olgu sunumu ve literatürün gözden geçirilmesi

Öz:

Primer omental torsiyon akut karın patolojisi olarak nadir karşılaşılan klinik bir durumdur. Primer omental torsiyon erkeklerde kadınlardan daha sık görülür. Primer omental torsiyonun tanısının zor olmasının yanında, hamilelik tanıyı çok daha zor ve önemli hale getirir. Gebelikte bilgisayarlı tomografi gibi radyolojik yöntemlerin kullanılamayacak olması tanı koymadaki en büyük problemi oluşturmaktadır. Bu noktada tanısal laparaskopi gebe hastalarda akut karın patolojilerinin tanı ve tedavisinde önemli bir yer tutmaktadır. Acil servisimize ani başlayan karın ağrısının şiddetlenmesi üzere acil servisimize başvuran 28 haftalık gebe hastanın tanısı batın ultrasonu ile netleştirilemeyince tanısal laparoskopi ile primer omental torsiyon tanısı alan hastanın aynı zamanda laparaskopik olarak torsiyone olan omentumunun alınması ile sağlığına kavuştu. Gebe hastalarda konservatif takip önemli bir yer tutarken hastanın gerek laboratuvar, gerekse fizik muayenedeki kötü yönde ilerlemesi görüntüleme yöntemlerinin sınırlılığı da eklendiğinde tanısal laparoskopiyi önemli bir noktaya taşımaktadır.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık

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APA	Mantoglu B, Altintoprak F, Yıgıt M, FIRAT N (2021). Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review. , 706 - 709. 10.14744/tjtes.2020.96898
Chicago	Mantoglu Baris,Altintoprak Fatih,Yıgıt Merve,FIRAT Necattin Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review. (2021): 706 - 709. 10.14744/tjtes.2020.96898
MLA	Mantoglu Baris,Altintoprak Fatih,Yıgıt Merve,FIRAT Necattin Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review. , 2021, ss.706 - 709. 10.14744/tjtes.2020.96898
AMA	Mantoglu B,Altintoprak F,Yıgıt M,FIRAT N Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review. . 2021; 706 - 709. 10.14744/tjtes.2020.96898
Vancouver	Mantoglu B,Altintoprak F,Yıgıt M,FIRAT N Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review. . 2021; 706 - 709. 10.14744/tjtes.2020.96898
IEEE	Mantoglu B,Altintoprak F,Yıgıt M,FIRAT N "Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review." , ss.706 - 709, 2021. 10.14744/tjtes.2020.96898
ISNAD	Mantoglu, Baris vd. "Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review". (2021), 706-709. https://doi.org/10.14744/tjtes.2020.96898

APA	Mantoglu B, Altintoprak F, Yıgıt M, FIRAT N (2021). Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review. Ulusal Travma ve Acil Cerrahi Dergisi, 27(6), 706 - 709. 10.14744/tjtes.2020.96898
Chicago	Mantoglu Baris,Altintoprak Fatih,Yıgıt Merve,FIRAT Necattin Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review. Ulusal Travma ve Acil Cerrahi Dergisi 27, no.6 (2021): 706 - 709. 10.14744/tjtes.2020.96898
MLA	Mantoglu Baris,Altintoprak Fatih,Yıgıt Merve,FIRAT Necattin Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review. Ulusal Travma ve Acil Cerrahi Dergisi, vol.27, no.6, 2021, ss.706 - 709. 10.14744/tjtes.2020.96898
AMA	Mantoglu B,Altintoprak F,Yıgıt M,FIRAT N Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review. Ulusal Travma ve Acil Cerrahi Dergisi. 2021; 27(6): 706 - 709. 10.14744/tjtes.2020.96898
Vancouver	Mantoglu B,Altintoprak F,Yıgıt M,FIRAT N Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review. Ulusal Travma ve Acil Cerrahi Dergisi. 2021; 27(6): 706 - 709. 10.14744/tjtes.2020.96898
IEEE	Mantoglu B,Altintoprak F,Yıgıt M,FIRAT N "Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review." Ulusal Travma ve Acil Cerrahi Dergisi, 27, ss.706 - 709, 2021. 10.14744/tjtes.2020.96898
ISNAD	Mantoglu, Baris vd. "Unexpected acute abdominal pain during pregnancy caused by primary omental torsion diagnosed laparoscopically: A case report and literature review". Ulusal Travma ve Acil Cerrahi Dergisi 27/6 (2021), 706-709. https://doi.org/10.14744/tjtes.2020.96898