Primary omental torsion in children: case report.

Rami Mohamed,Khattala Khalid,Elmadi Aziz,Bouabdallah Youssef,Tenorkorang Snr Somuah

doi:10.11604/pamj.2013.14.57.1321

Rami Mohamed, Khattala Khalid + Show 3 more

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https://doi.org/10.11604/pamj.2013.14.57.1321

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Abstract

Primary omental torsion is a rare cause of acute abdominal pain, we report a case of 10-year-old boy admitted with crampy abdominal pain, routine laboratory tests and plain abdominal radiography was normal, the patient underwent surgical exploration with the initial diagnosis of appendicitis, primary omental torsion was confirmed and the omentum was untwisted, with good postoperative evolution.

Highlights

Primary omental torsion is a rare cause of acute abdominal pain, we report a case of 10-year-old boy admitted with crampy abdominal pain, routine laboratory tests and plain abdominal radiography was normal, the patient underwent surgical exploration with the initial diagnosis of appendicitis, primary omental torsion was confirmed and the omentum was untwisted, with good postoperative evolution
In the paediatric age group, Primary omental torsion (POT) is an uncommon cause of acute abdominal pain [6], which is diagnosed during surgical exploration
Presence of a normal appendix at surgery should raise the suspicion of omental torsion when facing primary omental torsion, O¤uzkurt et al [1] considered the presence of sterile, serosanguinous fluid within the peritoneal cavity a universal finding

Summary

Introduction

Primary omental torsion is a rare cause of acute abdominal pain. It clinical features may closely mimic that of acute appendicitis (acute onset of pain in the right lower abdominal quadrant). Abstract Primary omental torsion is a rare cause of acute abdominal pain, we report a case of 10-year-old boy admitted with crampy abdominal pain, routine laboratory tests and plain abdominal radiography was normal, the patient underwent surgical exploration with the initial diagnosis of appendicitis, primary omental torsion was confirmed and the omentum was untwisted, with good postoperative evolution. Pan African Medical Journal – ISSN: 1937- 8688 (www.panafrican-med-journal.com) Published in partnership with the African Field Epidemiology Network (AFENET).

Results

Conclusion