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Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2021 / Cilt: 27 - Sayı: 6

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

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

Fatih ALTINTOPRAK
Barış MANTOĞLU
Merve YİĞİT
Necattin FIRAT
Pages
706–709
Publication Date
2022-11-06
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

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.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Primary omental torsion (POT) is a rarely encountered clinical condition as an acute abdominal pathology.
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Key Findings & Data:At this point, diagnostic laparoscopy plays a significant role in the diagnosis and treatment of acute abdominal pathologies in pregnant patients.
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Conclusion & Impact: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.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

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.

Özet

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.

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Cite This Article

ALTINTOPRAK, F., MANTOĞLU, B., YİĞİT, M., FIRAT, N. (2022). 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, Cilt: 27 - Sayı: 6, 706–709. https://ajindex.com/articles/644410

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