摘要
We report a case of surgically proved left-sided torsion of the greater omentum that caused secondary by untreated inguinal hernia. Case A 36-year-old man presented to our hospital with abdominal pain. He had been diagnosed with a left inguinal hernia, but he had not received any treatments. Contrast-enhanced computed tomography （CT） of the abdomen showed a large fat density mass below the Sigmoid colon and left inguinal hernia with incarcerated fat. Exploratory laparotomy revealed torsion of the greater omentum with small bloody ascites. The greater omentum was twisted into one and a half circles and entered into a left inguinal hernia. An omentectomy with a repair of left inguinal hernia was performed. A resected omentum was submitted for pathological examination, which showed hemorrhagic infarction. Omental torsion is a rare cause of acute abdominal pain but should be included in the differential diagnoses of acute abdomen, especially in patients with untreated inguinal hernia.
我们报导引起的大网膜的通过手术证明的左边的扭转的一个案例由未经治疗的腹股沟疝第二等。腹的疼痛地介绍给我们的医院的案例 A 36 岁的孩子人。他与左腹股沟疝被诊断了，但是他没接受任何治疗。腹部的提高对比的计算断层摄影术(CT ) 与监禁脂肪在 S 字形的冒号和左腹股沟疝下面显示出一个大胖密度团。探索剖腹术与小血性腹水揭示了大网膜的扭转。大网膜被拧成 1.5 个圆并且进入了左腹股沟疝。有左腹股沟疝的一个修理的网膜切除术被执行。resected 网膜为病理学的检查被提交，它显示出出血性梗塞形成。网膜的扭转是剧烈腹的疼痛的一个稀罕原因，但是应该被包括在微分急腹症诊断，特别在有未经治疗的腹股沟疝的病人。
