Chinaka Chijioke, Mansoor Shahbaz, Salaheidin Mohamed
Department of Surgery, Midland Regional Hospital, Longford Road, Robinstown (Levinge), Mullingar, Co. Westmeath, Ireland.
Case Rep Surg. 2018 Jan 31;2018:7257460. doi: 10.1155/2018/7257460. eCollection 2018.
Acute abdominal pain is a common surgical presentation, and most often, the first line of consideration is to rule out acute appendicitis; this is more so when the patient is an adolescent or within younger age group. In most cases, other differentials are considered before omental torsion. Omental torsion is a cause of acute abdominal pain and sometimes mimics acute appendicitis in its presentation. We present a case of a 14-yr-old boy who presented with acute abdomen with symptoms mimicking acute appendicitis. Laparoscopy revealed torsion of the omentum. Omentectomy and appendicectomy were done, and the child discharged four days after following a remarkable recovery.
急性腹痛是常见的外科症状，通常首先要考虑排除急性阑尾炎；当患者为青少年或更年轻的年龄组时更是如此。在大多数情况下，在考虑大网膜扭转之前会先考虑其他鉴别诊断。大网膜扭转是急性腹痛的一个原因，其表现有时类似于急性阑尾炎。我们报告一例14岁男孩，他以酷似急性阑尾炎的症状出现急腹症。腹腔镜检查发现大网膜扭转。进行了大网膜切除术和阑尾切除术，患儿在显著康复后四天出院。
