Unusual cause of acute abdomen in a child – torsion of greater omentum: report of two cases

Pogorelić, Zenon; Katić, Josip; Gudelj, Karla; Mrklić, Ivana; Vilović, Katarina; Perko, Zdravko

doi:10.1177/0036933015581129

Cited by 8 publications

(10 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This disease is more common in well-nourished males and is related to obesity. There were 28 males and 4 females in this group, which is similar to literature [ 19 , 20 ]. According to previous studies, lesions mainly occur on the right side of the omentum, accounting for about 90% of all cases.…”

Section: Discussionsupporting

confidence: 90%

“…We analyzed the reason may be due to the randomness of the collected data, resulting in a difference result. The right abdomen has the presence of gallbladder, appendix, and other organs, often causing acute cholecystitis, appendicitis, etc., and the clinical symptoms of primary omental infarction are very similar to acute appendicitis and cholecystitis [ 20 ]. CT examination can provide multiplanar reconstruction to describe the anatomical location and origin of the mass as well as the relationship between the mass and adjacent organs and vascular system.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnostic Value of CT Window Technique for Primary Omentum Infarction

Chen

et al. 2022

Computational and Mathematical Methods in Medicine

View full text Add to dashboard Cite

Objective. The diagnostic value of CT window width technique in primary omentum infarction was evaluated by this study. Methods. The abdominal CT data of 32 patients with clinically diagnosed abdominal omentum infarction were retrospectively selected and analyzed. The fixed window position was 50 HU, and the window width was 135 HU, 250 HU (abdomen), 350 HU (mediastinum), and 500 HU, respectively. The detection rate of lesions was analyzed and compared. Results. Window widths of 135 HU, 250 HU (abdomen), 350 HU (mediastinum), and 500 HU have a detection rate of 12.5% (4 cases), 62.5% (20 cases), 100% (32 cases), 100% (32 cases) for abdominal omental lesions, respectively. However, 500 HU showed worse abdominal bowel and parenchymal organs than 350 HU. Conclusion. According to the comprehensive image quality, the ideal window width for diagnosis of primary omentum infarction is 350HU (mediastinal) window width.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Diagnostic Value of CT Window Technique for Primary Omentum Infarction

Chen

et al. 2022

Computational and Mathematical Methods in Medicine

View full text Add to dashboard Cite

show abstract

“…It is well known that acute appendicitis is one of the most common causes of right lower abdominal pain in pediatric patients, but not every pain in that area is caused by acute appendicitis [ 1 ]. Numerous conditions can simulate the clinical presentation of acute appendicitis, like acute gastroenteritis, mesenteric lymphadenitis, torsion of intra-abdominal organs, Meckel’s diverticulitis, Crohn’s disease, enterobiasis, etc [ 1 , 2 , 3 ]. Typical clinical appearance of acute appendicitis is present only in 30–40% of pediatric patients [ 4 , 5 ].…”

Section: Introductionmentioning

confidence: 99%

Validity of Appendicitis Inflammatory Response Score in Distinguishing Perforated from Non-Perforated Appendicitis in Children

et al. 2021

Self Cite

View full text Add to dashboard Cite

Background: This prospective observational study aimed to evaluate the validity of appendicitis inflammatory response (AIR) score in differentiating advanced (perforated) from simple (non-perforated) appendicitis in pediatric patients. Methods: A single-center prospective cross-sectional study was conducted between 1 January 2019 until 1 May 2020 including 184 pediatric patients who underwent appendectomy. Based on the intraoperative finding of advanced (n = 38) or simple (n = 146) appendicitis the patients were divided into two groups. Recipient-operator curve (ROC), with calculation of sensitivity and specificity of best cutoff and the area under the curve (AUC), were used to measure the diagnostic value and the potential for risk stratification of the AIR score, among the patients with simple or advanced acute appendicitis. Results: The median value of the AIR score in the perforated and non-perforated groups was 10 (interquartile range, IQR 9, 11), and was 7 (IQR 6, 9), respectively (p < 0.001). Based on the calculated value of AIR score, the patients were classified with a high precision into low, indeterminate and high risk groups for acute appendicitis (p < 0.001). A cutoff value of ≥9 was demonstrated to serve as a reliable indicator of perforated appendicitis with a sensitivity and a specificity of 89.5% and 71.9%, respectively (AUC = 0.80; 95% CI: 0.719–0.871; p < 0.001). Conclusions: Acute appendicitis can be detected with a high level of sensitivity and specificity using the AIR score. Also, the AIR score may differentiate perforated from non-perforated appendicitis in pediatric patients with a high level of accuracy.

show abstract

“…Laparoscopic appendectomy is superior to open appendectomy due to shorter hospitalization time, reduced postoperative analgesic requirement, early food tolerance, quicker return to work, and lower risk of wound infection [ 3 , 4 ]. Moreover, laparoscopy allows for greater visualization and identification of various abdominal disorders that might simulate acute appendicitis, especially if the vermiform appendix is found nonaltered [ 5 , 6 , 7 , 8 ]. Closing the appendiceal stump is a critical step in an appendectomy to avoid major complications, such as postoperative fistula, peritonitis, and sepsis [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Self-Locking Polymeric Clips Are Safe for the Closure of Appendiceal Stump in Laparoscopic Appendectomy

et al. 2023

View full text Add to dashboard Cite

Background: Closure of the appendix stump is critical to avoid serious postoperative complications. There are a number of options, but the best one has not been identified yet. The purpose of this study is to evaluate the outcomes of appendiceal stump closure using self-locking polymeric clips and endoloops. Methods: A retrospective analysis of the prospectively maintained database of patients with acute appendicitis was performed. Patient demographic details and surgical characteristics, including the duration of hospital stay, postoperative complications, and also the cost of the appendix stump closure, were recorded. Patients were divided into two groups according to the appendix stump closure method: the clips group if it was closed with self-locking polymeric clips and the loops group if Vicryl or PDS loops were used. Statistical analysis was performed using Pearson’s chi-squared test, Wilcoxon rank sum (Mann–Whitney U) test, and Fisher’s exact test in R statistical software package version 4.2.1. Results: 515 patients were included in the study from June 2016 to April 2021. There were no significant differences in terms of demographics (p-value in comparison of groups’ sex > 0.99, age p-value 0.16), postoperative complications (p-value > 0.99), histological findings (p-value 0.27), or length of hospital stays (p-value 0.18) between the two patient groups (clips group, N = 454 and loops group, N = 61). The price of operation while using different appendiceal stump closures is significantly different. In a laparoscopic appendectomy, one stump closure with self-locking clips costs 7.69 €, with Vicryl loops—91.35 €, with PDS loops—96.51 €, and with a stapler—514.50 €. Conclusions: Self-locking polymeric clips can be used for the safe and effective closure of an appendiceal stump. There were no significant differences in the postoperative time (30 days) or complication rates among patients in both (clips and loops) groups. Thus, this might be a technique to reduce expenses while maintaining good postoperative results after laparoscopic appendectomy.

show abstract

Unusual cause of acute abdomen in a child – torsion of greater omentum: report of two cases

Cited by 8 publications

References 13 publications

Diagnostic Value of CT Window Technique for Primary Omentum Infarction

Diagnostic Value of CT Window Technique for Primary Omentum Infarction

Validity of Appendicitis Inflammatory Response Score in Distinguishing Perforated from Non-Perforated Appendicitis in Children

Self-Locking Polymeric Clips Are Safe for the Closure of Appendiceal Stump in Laparoscopic Appendectomy

Contact Info

Product

Resources

About