Omental infarction in children misdiagnosed as acute appendicitis

被引：3

作者：

Catania, Vincenzo D. ^{[1
]}

di Giacomo, Vincenza ^{[2
]}

Bonomo, Roberta ^{[3
]}

Guarino, Nino ^{[1
]}

机构：

[1] San Camillo Hosp, Dept Pediat Surg, Rome, Italy

[2] San Camillo Hosp, Dept Radiol, Rome, Italy

[3] San Camillo Hosp, Dept Anesthesia, Rome, Italy

来源：

ANNALS OF PEDIATRIC SURGERY | 2015年 / 11卷 / 03期

关键词：

acute abdomen; acute appendicitis; omental infarction; pediatric;

D O I：

10.1097/01.XPS.0000464143.40761.b2

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Omental infarction (OI) is a rare cause of acute abdomen in children. It is found in 0.1-0.5% of pediatric patients undergoing abdominal exploration for the suspect of acute appendicitis. OI is considered a self-limited entity, and conservative management should be considered. This approach implicates computer tomography scan radiation exposure, prolonged hospitalization, and prolonged analgesic and anti-inflammatory therapy. In contrast, surgery allows immediate pain resolution with low complication rate. We present our experience with two cases of pediatric acute abdomen due to OI, misdiagnosed as acute appendicitis, which were successfully treated surgically. (C) 2015 Annals of Pediatric Surgery.

引用

页码：200 / 202

页数：3

共 21 条

[1] Laparoscopic omentectomy for preoperative diagnosis of torsion of the greater omentum [J].