Torsion - a pathology during which the fatty pendant turns around its axis one or more times.
This results in compression and torsion of nutrient vessels .Such diseases require immediate surgical intervention. There is no alternative and can not be. If the operation is not performed on time, the testicle dies and dies.
Torsion of fatty pendant of testicles - curvature, torsion of hydatida( hydatida Morgagni).Rare is a rare disease.
Fatty pendants are present in an amount of up to six pieces not for every man.
Torsion, like a disease, begins very quickly: first, there is a sudden sharp pain in any of the half of the scrotum, and then swelling develops.
In case of not performing an operation, the testicle can lose up to 60% of its functional load due to the appearance of cicatricial changes.
There are more types of torsion:
- cystic leg;
- of the large intestine;
- ovary and others.
Diagnosis of the torsion of the fat suspension
So, the torsion of the fatty pendant of the large intestine with upcoming necrotic changes may well be accepted for manifestations of appendicitis.
An anamnesis of torsion, usually, atypical.
The general condition of patients, as a rule, practically does not vary. Only complaints of local pain in the abdominal area come. These pains are not subject to migration and changes in their nature. This should always be remembered in the differential approach to diagnosis in patients with suspected acute appendicitis.
Clinical blood tests are usually within normal limits.
However, in the absence of symptoms of regression of the disease, surgical intervention, as a rule, can not be avoided.
Diagnosis before surgery is unlikely, since the torsion of the fat suspension usually becomes a real discovery for the surgeon in carrying out laparotomy. But even during a surgical operation, the torsion of the fat suspension is problematic enough.
Treatment of torsion of the fat suspension
As we said, there can be only one treatment - a surgical operation.
The operation is best performed as soon as possible( in the first hours after the onset of pain.)
The medical treatment for this disease does not exist:
The essence of the operation is as follows: first the fat pads are bandaged at the base, then excised and the remaining process carefully peritonized. In very rare cases, with the development of disorders in the circulatory system of the fatty suspension, it is possible to self-amputation. In this case, the fatty pendant can be found in the cavity of the peritoneum in the form of a rejectionof a foreign body.
