• J Laparoendosc Adv Surg Tech A · Dec 2007

    Laparoscopy: an excellent tool in the management of primary omental torsion in children.

    • Kin Wai Chan, C S Chow, Y H Tam, and Kim Hung Lee.
    • Division of Paediatric Surgery & Paediatric Urology, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China. edwinchan@surgery.cuhk.edu.hk
    • J Laparoendosc Adv Surg Tech A. 2007 Dec 1; 17 (6): 821-4.

    IntroductionPrimary omental torsion (POT) is an uncommon acute condition, often occurring in obese children. The clinical presentation usually mimics that of acute appendicitis, and preoperative radiologic imaging may not be helpful in the diagnosis. In this paper, we report our experience of using laparoscopy in diagnosing and treating POT in children.Materials And MethodsA retrospective review of all cases of POT from 1998 to 2006 was performed. The efficacy and safety of using the laparoscope in the management of omental torsion was assessed.ResultsThere were 5 boys with a mean age of 8.8 years (range, 5-11) included in the study. The majority of the patients were overweight, and all presented with abdominal pain without other gastrointestinal symptoms. In all patients, there was marked localized tenderness at the right side but without rebound tenderness or guarding. Preoperative investigations did not help in the diagnosis in all cases. A laparoscopic examination was performed and, in all cases, the diagnosis of POT was accurately made. The omentum was either adherent to the anterior abdominal wall or to the ascending colon. In all cases, the twisted omentum was successfully removed by the laparoscopic technique. Rapid recovery was universally observed, with the disappearance of pain and a rapid resumption of diet and discharge from the hospital on the first postoperative day. Histology showed gangrenous omentum in all cases. All the patients were well and had good cosmetic results on the follow-up.ConclusionsLaparoscopy is an excellent tool for both diagnosing and treating omental torsion in children.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…