Omental whirl associated with bilateral inguinal hernia: a case report

INTRODUCTION: Torsion of the omentum is a rare cause of abdominal pain. It is clinically similar to common causes of acute surgical abdomen and is often diagnosed during surgery. Inguinal hernia is a common condition but not frequently related with torsion of the omentum. CASE PRESENTATION: A 40-year-old Caucasian man came to our emergency department with abdominal pain of the left quadrant and abdominal distension for 2 days. His medical history included an untreated left inguinal hernia in the last year. Computed tomography revealed densification of mesocolon with left omentum "whirl" component and other signs of omental torsion. During an exploratory laparoscopy, a wide twist of his omentum with necrotic alterations that extended to the bilateral inguinal hernial content was observed. Omentectomy and surgical repair of bilateral inguinal hernia were performed. CONCLUSIONS: Torsion of the omentum is a rare entity and usually presents a diagnostic challenge. The use of abdominal computed tomography can help diagnosing torsion of the omentum preoperatively and, thus, prevents a surgical approach. Nonetheless, some cases of torsion of the omentum require surgical repair. Accordingly, a laparoscopic approach is minimally invasive and efficient in performing omentectomy.(undefined

Getting Asia Right and Advancing the Field of IR

Why, we have to ask, have putatively inadequate ‘Western’ IR theories been applied over and over again to explain and understand Asian international relations? How can we develop more satisfying explanations of the international politics of Asia? In relation to such questions, this article demonstrates how academic disciplinary socialisation entails competition and selection, which tends towards the elimination of approaches or explanations that do not fit into the socialised practice, without generating new ones. It is argued here that interweaving existing IR theories with Asia's empirical material and remoulding the theories through gathering empirical evidence on the regional reality and converting it into theoretical variables, comparable in the field of IR, should be our goal. In order to apprehend Asian international relations better and to contribute to advancing the discipline of IR, we need an accumulation of theoretical knowledge sensitive to and attentive to local difference