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[Infiltrative subacute omentitis in children with acute appendicitis]
Insights
Infiltrative subacute omentitis (ISO) in children, often following appendicitis surgery, can lead to complications like bowel obstruction or abscesses. Surgical removal of the omentum is recommended for treating ISO.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Context:
- Infiltrative subacute omentitis (ISO) is a recognized complication following surgical treatment for acute appendicitis.
- The condition presents with distinct clinical and morphological characteristics in pediatric patients.
Purpose:
- To describe the clinical presentation, complications, and treatment outcomes of 87 children diagnosed with infiltrative subacute omentitis (ISO).
- To evaluate the efficacy of surgical interventions for ISO and its variants.
Summary:
- ISO occurred in 0.18% of acute appendicitis cases and 2.8% after appendicular peritonitis.
- Complications included 27 cases of intestinal obstruction and 10 cases of abscess formation.
- Surgical management involved omentectomy for ISO and omentum resection for abscessing omentitis.
Impact:
- The study highlights the importance of recognizing and managing ISO to prevent severe complications.
- Optimal surgical strategies, including omentectomy, are crucial for favorable outcomes in pediatric ISO cases.
- Two fatalities were recorded in patients with ISO post-appendicular peritonitis, underscoring the condition's potential severity.
Abstract:
Results of treatment of 87 children with infiltrative subacute omentitis (ISO) which appeared after operation for acute appendicitis are described. ISO has its clinical and morphological picture, can be complicated by comissural obstruction of the intestine (27 patients) or abscess formation (10 patients). It was observed in acute appendicitis in 0.18% of the cases, after appendicular peritonitis--in 2.8%. The operation of choice in infiltrative omentitis is supposed to be a removal of the greater omentis, in abscessing omentitis--resection of the omentum. Two patients with ISO developed after appendicular peritonitis died.