Primary omental torsion with successful conservative management, a case report.

Primary omental torsion is a rare cause of acute abdomen with no definite consensus for the best management. We report a young male who was successfully managed using a conservative approach. Conservative management should be the first line of management. Laparoscopic resection is indicated after failure of conservative management.

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Pyogenic Granuloma of the Foot with Satellitosis: A Role for Conservative Management

Journal of Cutaneous Medicine and Surgery ◽

10.2310/7750.2010.09068 ◽

2011 ◽

Vol 15 (1) ◽

pp. 58-60

Author(s):

Janice Bacher ◽

Dalal Assaad ◽

David N. Adam

Keyword(s):

Differential Diagnosis ◽

Case Report ◽

Conservative Management ◽

Treatment Options ◽

Pyogenic Granuloma ◽

Conservative Approach ◽

Review Of The Literature ◽

Atypical Case ◽

Over Time ◽

Rule Out

Background: Pyogenic granuloma (PG) with satellitosis is a rare phenomenon that typically occurs in children and teenagers. It can be seen after excision or trauma to the original lesion. Objective: The aim is to review an atypical case of PG with satellitosis and to highlight a conservative approach to management. Methods: This article includes a case report of a 48-year-old woman developing PG with satellitosis in her right foot and includes a review of the literature. Results: There are few cases of PG with satellitosis in the literature. Our patient differs from most given her age and the location of the lesions. She was managed differently with a conservative observational approach, and, over time, her symptoms abated. Conclusion: PG with satellitosis can occur in varying patient populations with varying presentations. Although several treatment options exist, managing patients conservatively should be considered an approach to management. Early investigations should be conducted to rule out more sinister items in the differential diagnosis.

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Omental Torsion after Laparoscopic Roux-en-Y Gastric Bypass Mimicking Appendicitis: A Case Report and Review of the Literature

Case Reports in Surgery ◽

10.1155/2016/7985795 ◽

2016 ◽

Vol 2016 ◽

pp. 1-2 ◽

Cited By ~ 1

Author(s):

Alexandre Descloux ◽

Giacinto Basilicata ◽

Antonio Nocito

Keyword(s):

Gastric Bypass ◽

Case Report ◽

Acute Abdomen ◽

Diagnostic Laparoscopy ◽

Rare Complication ◽

Late Complication ◽

Postoperative Phase ◽

Review Of The Literature ◽

Common Procedure ◽

Omental Torsion

Introduction. Laparoscopic Roux-en-Y gastric bypass (LRYGBP) is a common procedure in obesity surgery. The aim of an antecolic approach is to reduce the rate of internal herniation. Our aim is to make bariatric surgeons aware of another possible complication of antecolic LRYGBP.Methods and Results. We present a case report of omental torsion 24 months after antecolic LRYGBP presenting as an acute abdomen, suggesting appendicitis. During diagnostic laparoscopy, omental infarction due to torsion was observed. Resection of the avital omentum was performed.Discussion. Omental torsion after antecolic LRYGBP is a rare complication. When appearing in the early postoperative phase, it may mimic an anastomotic leakage. It may also occur as late complication, presenting with acute abdomen as an appendicitis.

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Primary omental torsion as a cause of acute abdomen: Case report

Turkish Journal of Trauma and Emergency Surgery ◽

10.5505/tjtes.2011.40222 ◽

2011 ◽

Vol 17 (6) ◽

pp. 554-556 ◽

Cited By ~ 1

Author(s):

Selim Sozen ◽

Sukru Dolalan ◽

Fahrettin Yildiz ◽

Hasan Elkan

Keyword(s):

Case Report ◽

Acute Abdomen ◽

Omental Torsion

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Hypertrophic Nonunion Humerus Mimicking an Enchondroma

Case Reports in Orthopedics ◽

10.1155/2014/854349 ◽

2014 ◽

Vol 2014 ◽

pp. 1-4

Author(s):

N. K. Magu ◽

Amanpreet Singh ◽

Reetadyuti Mukhopadhyay ◽

Jitendra Wadhwani ◽

Paritosh Gogna ◽

...

Keyword(s):

Case Report ◽

Conservative Management ◽

Young Male ◽

Humeral Shaft ◽

Histopathological Analysis ◽

Diagnostic Dilemma ◽

X Ray ◽

Benign Tumours

Introduction. Although fractures of humeral shaft show excellent results with conservative management, nonunion does occur.Case Report. We bring forth the case of a young male with a 1.5-year-old hypertrophic nonunion of the humerus mimicking an enchondroma. The initial X-ray images of the patient appeared to be an enchondroma, which only on further evaluation and histopathological analysis was diagnosed conclusively to be a hypertrophic nonunion.Discussion. Enchondromas are often incidentally diagnosed benign tumours. It is however not common to misdiagnose a hypertrophic nonunion to be an enchondroma. We present this case to highlight the unique diagnostic dilemma the treating team had to face.

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Amniotic Membrane Graft in Ocular Cicatricial Pemphigus: A More Conservative Approach

Ophthalmology Research An International Journal ◽

10.9734/or/2019/v11i430131 ◽

2020 ◽

pp. 1-4

Author(s):

Fouad Chraibi

Keyword(s):

Case Report ◽

Amniotic Membrane ◽

Conservative Management ◽

Ulcer Healing ◽

Ocular Surface ◽

Corneal Ulcer ◽

Immunosuppressive Treatment ◽

Conservative Approach ◽

Newly Diagnosed ◽

Adnexal Surgery

Purpose: To report more conservative management of ocular cicatricial pemphigus (OCP) lesions by performing an initial corneal partial amniotic membrane graft without disturbance of the inflamed conjunctiva. Methods: A case report of a patient having a stage 3 OCP in his left eye with a corneal ulcer. He was managed by partial corneal amniotic membrane (AM) graft. Results: The course was favorable with complete corneal ulcer healing and incidentally there was an important regression of associated ocular surface inflammatory signs with a less prominent inferior symblepharon strand. Conclusion: We propose to manage newly diagnosed patients having advanced ocular cicatricial pemphigus disease with partial corneal amniotic membrane graft before performing radical adnexal surgery with prior immunosuppressive treatment.

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Torsion of the Omentum: A Rare Cause of Acute Abdomen in a 14-Year-Old Boy

Case Reports in Surgery ◽

10.1155/2018/7257460 ◽

2018 ◽

Vol 2018 ◽

pp. 1-3 ◽

Cited By ~ 2

Author(s):

Chijioke Chinaka ◽

Shahbaz Mansoor ◽

Mohamed Salaheidin

Keyword(s):

Abdominal Pain ◽

Acute Appendicitis ◽

Acute Abdomen ◽

Acute Abdominal Pain ◽

Age Group ◽

First Line ◽

Omental Torsion ◽

Younger Age ◽

Remarkable Recovery ◽

Rule Out

Acute abdominal pain is a common surgical presentation, and most often, the first line of consideration is to rule out acute appendicitis; this is more so when the patient is an adolescent or within younger age group. In most cases, other differentials are considered before omental torsion. Omental torsion is a cause of acute abdominal pain and sometimes mimics acute appendicitis in its presentation. We present a case of a 14-yr-old boy who presented with acute abdomen with symptoms mimicking acute appendicitis. Laparoscopy revealed torsion of the omentum. Omentectomy and appendicectomy were done, and the child discharged four days after following a remarkable recovery.

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Primary greater omental torsion as a cause of acute abdomen—a rare case report

Journal of Surgical Case Reports ◽

10.1093/jscr/rjy207 ◽

2018 ◽

Vol 2018 (8) ◽

Cited By ~ 1

Author(s):

Michael Karanikas ◽

Konstantinia Kofina ◽

Ferdi Boz Ali ◽

Vasileia Vamvakerou ◽

Eleni Effraemidou ◽

...

Keyword(s):

Case Report ◽

Acute Abdomen ◽

Rare Case ◽

Omental Torsion ◽

Rare Case Report

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Primary Omental Torsion Is a Diagnostic Challenge in Acute Abdomen—a Case Report and Literature Review

Indian Journal of Surgery ◽

10.1007/s12262-013-0807-6 ◽

2013 ◽

Vol 75 (4) ◽

pp. 255-257 ◽

Cited By ~ 2

Author(s):

Vijay Borgaonkar ◽

Sushil Deshpande ◽

Mukesh Rathod ◽

Imran Khan

Keyword(s):

Case Report ◽

Literature Review ◽

Acute Abdomen ◽

Diagnostic Challenge ◽

Omental Torsion

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Giant Appendicolith: A Case Report and Review of the Literature

Military Medicine ◽

10.1093/milmed/usaa039 ◽

2020 ◽

Vol 185 (9-10) ◽

pp. e1851-e1853

Author(s):

Robert A Pahissa ◽

Kevin M Lin-Hurtubise

Keyword(s):

Computed Tomography ◽

Case Report ◽

Acute Appendicitis ◽

Acute Abdomen ◽

Young Male ◽

Review Of The Literature ◽

Popular Belief ◽

Appendiceal Mass ◽

Common Etiology

Abstract Acute appendicitis is one of the most prevalent causes of an acute abdomen. Although the cause of appendicitis is not completely understood, the theory of luminal obstruction is a popular belief, with appendicoliths being a common etiology. While appendicoliths are quite common, giant appendicoliths >2 cm are rare. Although previous reports cite only two or three other occurrences of giant appendicoliths, we found at least 11 reported cases in the literature. We present a young male diagnosed preoperatively on computed tomography to have a large appendiceal mass of 2.2 cm. This case is presented for the rarity of giant appendicoliths along with a review of the literature.

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