Omental torsion secondary to right inguinal hernia: case report and cumulative review of the English literature.

A case of omental torsion secondary to right inguinal hernia in a 51-year-old man was operated on in Naga Hospital. Preoperative computed tomography (CT) showed a characteristic whirling fatty mass and entering into a right inguinal hernia. Omental torsion is a relatively rare disease, and the preoperative diagnosis is difficult because of nonspecific clinical signs and symptoms. In this report, we gathered 36 patients with omental torsion from the English language literature since 1986, with the addition of the patient herein reported, and clarified the symptoms, imaging findings, and management of omental torsion.

Study of the absorption of cefcapene pivoxil in patients with infectious disease and soft stool or diarrhea.

Cefcapene pivoxil hydrochloride (CFPN-PI), an ester cephem antibiotic, was orally given at a dose of 100 mg three times daily in patients with infection and soft stool or diarrhea, and its absorption was determined using the recovery ratio of 12-h urine pooled after the initial administration as an index. The primary endpoint, the recovery ratio of 12-h urine pooled after oral administration, could be evaluated in six of the eight patients finally gathered, and the mean value was 30.1 +/- 5.8%, which was not considered to differ from the mean value of 34.4 +/- 5.5% obtained in six healthy adult volunteers in the previous phase I study. Clinical efficacy in the eight patients was rated as very effective, effective, and ineffective in two, five, and one patients, respectively, with an effective ratio of 87.5% (7/8). Neither adverse drug reactions nor abnormal laboratory data were observed in any patient. These results indicate that CFPN-PI, at the routine oral dose, does not cause any problems in terms of absorption, efficacy, and safety when it is used in patients with infection and soft stool or diarrhea.