[Torsion of the omentum - an unexpected cause of  acute surgical abdomen in a  pregnant XXXX -case report].

@entity1 @entity697 @entity490 @entity39
OBJECTIVE: Torsion of the omentum is a rare cause of acute surgical abdomen. Here we describe a case of a pregnant @entity1 with acute @entity490 and a perioperative diagnosis of @entity39 of torted omentum was made. DESIGN: Case report. SETTING: Department of Obstetrics and Gynaecology, Masaryks Hospital, Jilemnice. CASE REPORT: Thirty year old female @entity1 , who was 38 weeks pregnant, presented to our department with acute surgical abdomen. @entity697 was suspected and an urgent caesarean section followed by appendectomy was scheduled. However, perioperatively a necrotic part of torted omentum was identified and resected. CONCLUSION: Torsion of the omentum is a rare cause of acute @entity490 which is usually diagnosed only perioperatively. This condition usually presents with nonspecific symptoms and most commonly mimics @entity697 . Owing to, inexplicit symptoms and wide range of differential diagnoses it is important to think of this entity as a possible cause of acute @entity490 . Clear indication for abdominal surgery, especially in pregnant @entity1 is essential and requires efficient team working between gynaecologists, abdominal surgeons and radiologists.
