Kratochvíl J., Mrva M., Kopřiva A., Stračár M., Doležal B.: Impingement of an Accessory Intraabdominal Organ as an Uncommon Intraoperative Diagnosis – A Case Review

Authors: J. Kratochvíl;  M. Mrva;  A. Kopřiva;  M. Stračár;  B. Doležal
Authors‘ workplace: Chirurgické oddělení VN Brno, primář: MUDr. Martin Stračár
Published in: Rozhl. Chir., 2011, roč. 90, č. 5, s. 298-300.
Category: Monothematic special - Original


In this case report is described a patient with an abdominal pain, who came to surgery. Intraoperatively was found the infarcted formation of unknown origin in the omentum – suspicion of accessory spleen. Histologically was elucidated, that the formation consisted of ischemic adipose tissue – there was a torsion of a large caul.

Key words:
ometnal torsion – strangulation – acute abdomen


1. Jeganathan, R., Epanomeritakis, E., Diamond, T. Primary torsion of the omentum. The Ulster Medical Journal, Volume 71, May 2002, No. 1, pp. 76–77.

2. Al Tokhais, T. I., Bokhari, A. A., Noureldin, O. H. Primary omental torsion: A rare cause of acute abdomen. The Saudi journal of gastroenterology, 2007 13(3): 144–146.

3. Khine, M., Roslani, A. C. An Unusual Cause of Abdominal Pain. Annals Academy of Medicine.

4. Chand, M., Moore, P. J., Nash, G. F. A simple case of appendicitis? An increasingly recognised pitfall. Ann. R. Coll. Surg. Engl., 2007; 89.

Surgery Orthopaedics Trauma surgery

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Perspectives in Surgery

Issue 5

2011 Issue 5

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