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Omental infarction: risk factors in children
Vincent Varjavandi1, Marc Lessin, Koorosh Kooros
1Department of Surgery, The Floating Hospital for Children, Boston, MA 02111, USA.
Purpose:
A series of 4 cases of omental infarction are analyzed. It is shown that obesity, as well as idiosyncratic anatomy, are factors in the development of this rare clinicopathologic entity.
Methods:
The authors reviewed the preoperative and operative records of all patients.
Results:
All of the cases of omental infarction were seen in obese children. Other than persistent right-sided abdominal pain, there were no other signs or symptoms. None of the patients had an elevated white blood cell count, and none had fever.
Conclusions:
Computed tomography scanning is noted to be helpful in making the diagnosis. Laparoscopy is noted to be the procedure of choice, because standard incisions may preclude one from a proper exploration.