儿童肥胖：网膜扭转的一个风险因素。
Childhood obesity: a risk factor for omental torsion.
作者信息
Theriot Judy A, Sayat Jon, Franco Sofia, Buchino John J
机构信息
Department of Pediatrics/Children and Youth Project, University of Louisville School of Medicine, Louisville, Kentucky 40292, USA.
出版信息
Pediatrics. 2003 Dec;112(6 Pt 1):e460. doi: 10.1542/peds.112.6.e460.
PURPOSE
To determine the risk factors and clinical presentation of primary omental torsion (POT) in children.
METHODS
Histopathology records of a pediatric hospital from January 1993 to March 2003 were reviewed to identify cases of POT. Hospital charts of patients diagnosed with POT were reviewed for demographic data and clinical presentation.
RESULTS
A diagnosis of POT was recorded in 12 of 41,987 pathology records reviewed. Most of the patients were white (92%), male (75%), and 9 to 16 years old (75%). Weight percentiles were >or=95th in 11 (92%) of 12 patients. Body mass index was calculated in 9 of the 12 cases with 8 >95th percentile. Clinical presentation including right-sided abdominal pain, tenderness, and anorexia closely mimics acute appendicitis.
CONCLUSIONS
Obesity seems to be an important risk factor for POT in children. The presentation for POT seems to be less acute than with other causes of surgical abdomen.
目的
确定儿童原发性大网膜扭转（POT）的危险因素和临床表现。
方法
回顾1993年1月至2003年3月一家儿科医院的组织病理学记录，以确定POT病例。查阅诊断为POT患者的医院病历，获取人口统计学数据和临床表现。
结果
在审查的41987份病理记录中，有12例诊断为POT。大多数患者为白人（92%）、男性（75%），年龄在9至16岁之间（75%）。12例患者中有11例（92%）体重百分位数≥第95百分位。12例中有9例计算了体重指数，其中8例>第95百分位。临床表现包括右侧腹痛、压痛和厌食，与急性阑尾炎极为相似。
结论
肥胖似乎是儿童POT的一个重要危险因素。POT的表现似乎不如其他外科急腹症那样急。
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