大網膜扭轉在急性腹痛的病患中是極少見的案例,我們報告一位76歲的女性,於急診室反應持續且漸嚴重的腹痛近3天,術前診斷為急性闌尾炎,術中發現闌尾正常,但大網膜扭轉壞死,病患接受大網膜部分切除與闌尾切除,於術後第4天順利出院。
Omental torsion is a rare condition of acute abdomen. We present a 76 year-old female with progressive abdominal discomfort and pain which lasted 3 days. Physical examination showed tenderness and rebound pain localizing at the right lower quadrant of the abdomen. Emergency operation was performed under the impression of acute appendicitis. During the operation, a normal appendix and omental torsion with ischemic change were noted. Partial omentectomy and appendectomy with drainage were performed. She was discharged uneventfully. The literature on omental torsion is reviewed.