A five-year-old female intact German shepherd presented with an acute onset of abdominal pain. Abdominal ultrasound revealed a 5-cm encapsulated, heterogeneous structure with hypoechoic patches near the right pancreatic lobe. An exploratory laparotomy revealed a partially encapsulated necrotic mass located at the greater omentum. A partial omentectomy was performed. Histopathological findings were consistent with necrosis of the omentum secondary to omental torsion. Postoperative course was uneventful. Omental torsion is a rare cause of abdominal pain in human beings and animals. In veterinary medicine, it has only been reported four times, none of them in a dog. Omental torsion should be included as a differential diagnosis for dogs with acute abdominal pain and gastrointestinal signs. Imaging studies can aid in the diagnosis but exploratory laparotomy is probably the best diagnostic and therapeutic intervention in these cases. Prognosis after surgery appears to be good but an underlying aetiology should be searched thoroughly.
- abdominal pain
- acute abdomen
Statistics from Altmetric.com
Contributors All authors were involved in the clinical work-up of the case, preparation of the manuscript and gave final approval of the manuscript.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.