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[Primary torsion of omentum in childhood]

A M Tamisani, E Di Rovasenda, P Magillo

    La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
    |July 1, 1982
    PubMed

    Insights

    Primary omental torsion is a rare cause of acute abdomen in children, often misdiagnosed as appendicitis. Surgeons should inspect the omentum during abdominal surgery, especially in negative appendectomy cases.

    Area of Science:

    • Pediatric Surgery
    • Abdominal Surgery
    • Surgical Pathology

    Background:

    • Primary omental torsion is an uncommon surgical emergency.
    • It often presents with symptoms mimicking acute appendicitis, leading to diagnostic challenges.

    Observation:

    • A case of primary omental torsion in an 11-year-old child is presented.
    • The child underwent surgery with an initial diagnosis of acute appendicitis.

    Findings:

    • The study reviews world literature and case reports on idiopathic omental torsion.
    • Etiology, pathogenesis, and pathology of this condition are discussed.

    Implications:

    • Highlights the importance of intraoperative omental inspection in cases of acute abdomen.
    • Emphasizes considering omental torsion in 'negative' appendectomy findings.

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