Gargano Tommaso, Maffi Michela, Cantone Noemi, Destro Francesca, Lima Mario
Department of Pediatric Surgery, University of Bologna, Bologna, Italy.
European J Pediatr Surg Rep. 2013 Jun;1(1):35-7. doi: 10.1055/s-0033-1345280. Epub 2013 May 9.
Omental torsion is an underdiagnosed cause of acute abdomen in children. Most cases occur in adults, with only 15% presenting in children. It is estimated that omental infarct is found in approximately 0.1 to 0.5% of children undergoing operations for appendicitis. It may present with various signs and symptoms, although the clinical presentation usually mimics that of acute appendicitis. Definitive diagnosis is often established during surgery. We report a case of a 9-year-old boy who came to our attention for acute abdomen. We performed a laparoscopy-assisted procedure suspecting acute appendicitis. We therefore identified a secondary omental torsion associated with patency of the right inguinal duct and herniated omentum. Laparoscopy allowed a correct diagnosis and therapy.
网膜扭转是儿童急性腹痛的一个诊断不足的病因。大多数病例发生在成人，仅有15%出现在儿童中。据估计，在接受阑尾炎手术的儿童中，约0.1%至0.5%会发现网膜梗死。它可能表现出各种体征和症状，尽管临床表现通常与急性阑尾炎相似。确诊往往在手术期间确定。我们报告一例9岁男孩因急性腹痛引起我们的关注。我们怀疑是急性阑尾炎而进行了腹腔镜辅助手术。因此，我们发现了与右侧腹股沟管通畅和网膜疝相关的继发性网膜扭转。腹腔镜检查实现了正确的诊断和治疗。
