Angulo J M, Ruiz I, Villanueva A, San Vicente M, Tovar J A
Servicio de Cirugía Pediátrica, Hospital Materno-Infantil Ntra. Sra. de Aránzazu, San Sebastián.
Cir Pediatr. 1990 Jul;3(3):125-9.
In the last nine years we have operated upon six children (eight males and two females) with primary omental pathology. The age of our patients ranged from five to eleven years with the exception of a newborn prenatally diagnosed of lymphangioma. All the remaining children had abdominal pain and right iliac tenderness for an average of two days. All had leukocytosis and left shift. Vomiting and fever were present only in one instance. In no case the mass was palpated preoperatively. The initial diagnosis was acute appendicitis in all cases. A patient suffered, one year after operation, a second acute clinical picture and the omental mass could be revealed [correction of decealed] preoperatively. At operation there was free intraperitoneal fluid in six instances (three times bloody, two times clear and one purulent). Surgical findings (nine operations) were: three omental segmental infarctions (primary in two cases and secondary to torsion in one), three segmental epiploitis in two patients (one acute, one chronic, one secondary to foreign body), two cystic lesions (one lymphangioma, one hydatic cyst) and one benign tumor (fibromatosis).
在过去九年里，我们为六名患有原发性网膜病变的儿童（八名男性和两名女性）实施了手术。除一名产前诊断为淋巴管瘤的新生儿外，我们患者的年龄在5至11岁之间。其余所有儿童均有腹痛和右下腹压痛，平均持续两天。所有患者均有白细胞增多和核左移。仅1例出现呕吐和发热。术前均未触及肿块。所有病例的初步诊断均为急性阑尾炎。一名患者术后一年出现第二次急性临床表现，术前发现网膜肿块。手术时，六例腹腔内有游离液体（三次血性、两次清亮、一次脓性）。手术所见（九例手术）为：三处网膜节段性梗死（两例为原发性，一例继发于扭转），两名患者三处节段性网膜炎（一例急性、一例慢性、一例继发于异物），两处囊性病变（一例淋巴管瘤、一例包虫囊肿）和一例良性肿瘤（纤维瘤病）。
