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Eur J Pediatr Surg 2003; 13(1): 57-59
DOI: 10.1055/s-2003-38289
Case Report

Georg Thieme Verlag Stuttart, New York · Masson Editeur Paris

Segmental Infarction of the Omentum: A Difficult Diagnosis

C. H. Houben 1 , M. Powis 1 , V. M. Wright 1
  • 1The Royal London Hospital, London, UK
Further Information

Publication History

Received: January 16, 2002

Publication Date:
28 March 2003 (online)

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Abstract

Segmental infarction of the greater omentum is a rare diagnosis. This report describes a case of omental torsion in an eight-year-old boy. The report assesses the predisposing factors, the classification and the place of ultrasonography.

Résumé

L'infarctus segmentaire du grand épiploon est un diagnostic rare. Ce rapport décrit le cas d'une torsion épiploïque chez un garçon de 8 ans et analyse les facteurs prédisposants, la classification et la place de l'échographie.

Resumen

El infarto segmentario del epiplon mayor es un diagnóstico raro. Este trabajo describe un caso de torsión epiploica en un niño de 8 años y resume los factores patogénicos, la clasificación y el papel diagnóstico de la ultrasonografía.

Zusammenfassung

Ein segmentaler Infarkt des Großen Omentum (Omentum Majus) ist eine seltene Diagnose. Ein acht Jahre alter Junge mit einer Torsion des Omentums wird vorgestellt. Die Fallbeschreibung analysiert prädisponierende Faktoren, die Klassifikation der Infarkte des Omentum und den Stellenwert des Ultraschalls.

Key words

Omental ischaemia - omental torsion - ultrasonography

Mots-clés

Ischémie du grand épiploon - torsion épiploïque - echographie

Palabras clave

Isquemia epiploica - tosion epiploica - ultrasonografía

Schlüsselwörter

Segmentaler Mesenterialinfarkt - Omentum Majus

References

  • 1 Adams J T. Primary torsion of the omentum.  Am J Surg. 1973;  126 102-105
    PubMedGoogle Scholar
  • 2 Barcia P J, Nelson T G. Primary segmental infarction of the omentum with and without torsion.  Am J Surg. 1973;  126 328-331
    PubMedGoogle Scholar
  • 3 Brady S C, Kliman M R. Torsion of the greater omentum or appendices epiploicae.  Can J Surg. 1979;  22 79-82
    PubMedGoogle Scholar
  • 4 Egozi E I, Ricketts R R. Mesenteric and omental cysts in children.  Am J Surg. 1997;  63 287-290
    PubMedGoogle Scholar
  • 5 Epstein L I, Lempke R E. Primary idiopathic segmental infarction of the greater omentum: Case report and collective review of the literature.  Ann Surg. 1968;  167 437-443
    PubMedGoogle Scholar
  • 6 Johnson A H. The greater omentum and omental thrombosis.  North West Med. 1932;  31 285
    PubMedGoogle Scholar
  • 7 Leitner M J, Jordan C G, Spinner M H. et al . Torsion, infarction and hemorrhage of the omentum as a cause of acute abdominal distress.  Ann Surg. 1952;  135 103-110
    PubMedGoogle Scholar
  • 8 Mainzer R A, Simoes A. Primary idiopathic torsion of the omentum.  Arch Surg. 1961;  88 974-981
    PubMedGoogle Scholar
  • 9 McWhinnie D L. Oxford Textbook of Surgery: The Omentum. Vol. 1. Oxford University Press 1994: 1330-1331
    Google Scholar
  • 10 Naraynsingh V, Barrow R, Raju G C. et al . Segmental infarction of the omentum: Diagnosis by ultrasound.  Postgrad Med. 1985;  61 651-652
    PubMedGoogle Scholar
  • 11 Spitz L, Pantanowitz D, Thanin O. Primary torsion of the omentum: A report of four cases and a review of the literature.  S Afr J Surg. 1970;  8 49-52
    PubMedGoogle Scholar
  • 12 Steyaert H, Valla J S. Laparoscopic approach to primary infarction of the greater omentum.  Surg Lap & Endos. 1997;  7 97-98
    PubMedGoogle Scholar

M.D. F.R.C.S. C. H. Houben

The Royal London Hospital

26 Museum Chambers, Little Russell Street

London WC1A 2HN

UK

Email: chhouben@web.de