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Boletín Médico del Hospital Infantil de México

2006, Number 5

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Bol Med Hosp Infant Mex 2006; 63 (5)

Idiopathic segmentary infarction of the great omentum treatment by laparoscopy. A case report.

Escárcega-Fujigaki P, Hernández Peredo-Rezk G, Hernández-Gómez S, Rodríguez-Gutiérrez C, Martín-Bendimez G, Velasco-Sánchez R

Language: Spanish
References: 11
Page: 322-325
PDF size: 187.89 Kb.


ABSTRACT

Introduction. The primary idiopathic segmentary infarction of the great omentum is rarely found in the pediatric age group; it is predominant in overweight children and it is mistaken for acute appendicitis.
Case report. Six year old masculine patient presented abdominal pain for 36 hours associated with low grade fever; he weighed 25 kg (p-90), his height was 115 cm (p-50), on physical examination he showed slightly dried oral mucosa, pain on lower right quadrant with peritoneal irritation signs. The white blood count showed slight leukocitocys and the abdomen radiograph showed inflammation and peritoneal irritation. Endoscopic surgery was done and an infarcted segment of greater omentum was found, it was ligated, resected and extracted. Clinical evolution was satisfactory.
Conclusion. Endoscopic surgery gives us an excellent resource for diagnosis and treatment of this pathology.


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