A Child with the Rare Diagnosis of Acute Appendicitis and Omental Torsion
A 5-year-old girl with acute appendicitis and omental torsion (OT), who presented with acute abdomen, is reported. The greater omentum of right upper quadrant gathered as an edematous and hard-shelled conglomeration with 7.0 cm x 6.0 cm x 4.0 cm size. It also rotated 5 x 360° by clockwise direction. At the same time, the changes of the appendix were observed. The appendix was congestive, edematous and hard-shelled, with faecolith in the tip and had no adhesion with greater omentum. The whirled omentum and appendix were removed. The patient recovered smoothly, and was discharged 7 days later. OT occurring with acute appendicitis is a rare pathological condition with generic symptoms that may mimic many acute abdominal conditions. Laparoscopy is the first choice procedure for diagnosis and treatment of acute omental torsion and acute appendicitis.
Keyword : Abdominal pain; Appendicitis; Omentum; Torsion
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