[Inflammatory diseases of the greater omentum in children]

The authors' experience with the treatment of 46 patients with secondary and primary omentitis is presented. Operations were performed in all the children. Resection of the altered portion of the omentum was fulfilled in primary omentitis. Draining operations were performed in cases with secondary omentitis. It was found that primary omentitis was caused by a hematogenic infection of peripheral portions of the greater omentum, the secondary omentitis being due to a residual inflammatory process in the resected omentum stump or not correct assessment of its state and rejection of resection while performing appendectomy.