Varjavandi Vincent, Lessin Marc, Kooros Koorosh, Fusunyan Robert, McCauley Roy, Gilchrist Brian
Department of Surgery, The Floating Hospital for Children, Boston, MA 02111, USA.
J Pediatr Surg. 2003 Feb;38(2):233-5. doi: 10.1053/jpsu.2003.50051.
A series of 4 cases of omental infarction are analyzed. It is shown that obesity, as well as idiosyncratic anatomy, are factors in the development of this rare clinicopathologic entity.
The authors reviewed the preoperative and operative records of all patients.
All of the cases of omental infarction were seen in obese children. Other than persistent right-sided abdominal pain, there were no other signs or symptoms. None of the patients had an elevated white blood cell count, and none had fever.
Computed tomography scanning is noted to be helpful in making the diagnosis. Laparoscopy is noted to be the procedure of choice, because standard incisions may preclude one from a proper exploration.
分析4例大网膜梗死病例。结果表明，肥胖以及特殊的解剖结构是这种罕见临床病理实体发生发展的因素。
作者回顾了所有患者的术前和手术记录。
所有大网膜梗死病例均见于肥胖儿童。除持续性右侧腹痛外，无其他体征或症状。所有患者白细胞计数均未升高，也均未发热。
计算机断层扫描有助于诊断。腹腔镜检查是首选方法，因为标准切口可能无法进行适当的探查。
