Right lower quadrant pain in children caused by omental infarction

Helmrath, Michael A.; Dorfman, Scott R.; Minifee, Paul K.; Bloss, Robert S.; Brandt, Mary L.; DeBakey, Michael E.

doi:10.1016/s0002-9610(01)00825-x

Cited by 61 publications

(72 citation statements)

References 8 publications

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“…(17) The patients present right and left lower quadrant pain, right upper quadrant pain, depending on the location of the lesion; nausea, vomiting and diarrhea, constipation, fever, anorexia; white blood cell count can be normal or slightly elevated and a mass can be palpated at physical examination, rebound and acute appendicitis signs. The diagnosis can be supported by ultrasound which reveals a hiperecoic ovoid mass and more specifically by Computed Axial Tomography or Magnetic Resonance Image, that show more circumscribed lesions with interposed fat, hyper-attenuated areas generally localized in the right hemiabdomen; (4,7,15,18) laparoscopy can be diagnostic or curative. (5,19,20) Early operative intervention is necessary to avoid the increased morbidity and mortality associated with peritonitis.…”

Section: Discussionmentioning

confidence: 99%

“…The first case of right-sided segmental torsion of the greater omentum (RSSTGO) was described by Bush (1) in 1896 and by the year 1908 one hundred and twelve cases had been described; (2) In 1991 Coppo gathered about one hundred fifty cases (3). Helmrath in 2001 found over three hundred described cases of Infarction of the greater omentum (IGO) (4). Nowadays both pathologies can be considered as rare causes of Right Lower Quadrant Pain (RLQP) (5).…”

Section: Introductionmentioning

confidence: 99%

“…Nowadays both pathologies can be considered as rare causes of Right Lower Quadrant Pain (RLQP) (5). About the 85% of the cases have been reported in adult population, remaining 15% in pediatric population (4). Vascular pathology of the greater omentum is still being very rare, since Bush described the first case in 1896.…”

Section: Introductionmentioning

confidence: 99%

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VASCULAR PATHOLOGY OF THE GREATER OMENTUM: Report of two cases

et al. 2004

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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VASCULAR PATHOLOGY OF THE GREATER OMENTUM: Report of two cases

et al. 2004

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“…These patients may require long-time analgesia as some necrotic tissue is left in the abdominal cavity and may suffer from other complications such as abscess formation [18].…”

Section: Discussionmentioning

confidence: 99%

Primary Omental Torsion Is a Diagnostic Challenge in Acute Abdomen—a Case Report and Literature Review

et al. 2013

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Torsion of greater omentum is a rare cause of acute abdominal pain. It can be primary or secondary. Secondary omental torsions are associated with a number of preexisting conditions like inguinal hernia (most common), tumours, cysts, internal or external herniation, foci of intra-abdominal inflammation and postsurgical wound or scarring. Torsion of omentum causes twisting along its long axis resulting in impaired blood supply. This condition is rare and predominant in males. Most patients are middleaged adults. It clinically mimics acute appendicitis. If evaluated properly and diagnosed in time, good results can be achieved. We are presenting herewith a case of primary greater omental torsion and review of available literature.

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“…Hastaların çoğu obezdir. [3] Omental infarktın doğal patolojik seyri enflamatuvar sürecin retraksiyon, fibrozis ve son olarak da komplet rezolüsyon veya otoamputasyon şeklinde sonlanmasıdır.…”

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