Chew D K, Holgersen L O, Friedman D
Division of Pediatric Surgery, St Luke's-Roosevelt Hospital, New York, NY 10019, USA.
J Pediatr Surg. 1995 Jun;30(6):816-7. doi: 10.1016/0022-3468(95)90755-6.
Primary torsion of the omentum is an unusual cause of an acute abdomen and commonly mimics acute appendicitis. The following report of four obese children is supportive of obesity as a predisposing factor. The paucity of gastrointestinal symptoms, anorexia, nausea, vomiting, and the relatively long duration of symptoms, may increase the index of suspicion. In the majority of cases, the diagnosis is made intraoperatively by digital exploration through the muscle-splitting incision. The torsed omentum is easily delivered through the same incision, and excision results in complete recovery.
原发性大网膜扭转是急腹症的一种罕见病因，通常类似急性阑尾炎。以下关于四名肥胖儿童的报告支持肥胖是一个诱发因素。胃肠道症状、厌食、恶心、呕吐较少，且症状持续时间相对较长，可能会增加怀疑指数。在大多数病例中，通过经肌肉分离切口进行手指探查在术中作出诊断。扭转的大网膜很容易通过同一切口取出，切除后可完全康复。
