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大网膜梗死的非手术治疗:一例儿童病例报告

Nonoperative management of omental infarction: a case report in a child.

作者信息

Fragoso Ana Catarina, Pereira José Miguel, Estevão-Costa José

机构信息

Division of Pediatric Surgery, Faculty of Medicine of Porto, Hospital S. João, 4200-319 Porto, Portugal.

出版信息

J Pediatr Surg. 2006 Oct;41(10):1777-9. doi: 10.1016/j.jpedsurg.2006.05.038.

Abstract

Omental infarction is a rare entity in children that is usually diagnosed during surgery for suspected appendicitis. We report the clinical case of an obese boy presenting with abdominal pain and right-sided tenderness without fever, anorexia, or leukocytosis. Abdominal ultrasonography suggested omental infarction, and computed tomography confirmed the diagnosis. Nonoperative management was adopted with rapid and uneventful recovery. Nonoperative treatment of omental infarction is safe and effective; accurate diagnosis is therefore crucial to enable a conservative approach. Suggestive clinical features and diagnostic workup are addressed.

摘要

网膜梗死在儿童中是一种罕见疾病,通常在因疑似阑尾炎进行手术时被诊断出来。我们报告了一例肥胖男孩的临床病例,该男孩表现为腹痛和右侧压痛,无发热、厌食或白细胞增多。腹部超声提示网膜梗死,计算机断层扫描确诊了该诊断。采取了非手术治疗,患儿恢复迅速且顺利。网膜梗死的非手术治疗是安全有效的;因此,准确诊断对于采取保守治疗方法至关重要。文中讨论了相关的临床特征和诊断检查。

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