Omental infarction: risk factors in children.
OBJECTIVE
A series of 4 cases of omental infarction are analyzed. It is shown that obesity, as well as idiosyncratic anatomy, are factors in the development of this rare clinicopathologic entity.


METHODS
The authors reviewed the preoperative and operative records of all patients.


RESULTS
All of the cases of omental infarction were seen in obese children. Other than persistent right-sided abdominal pain, there were no other signs or symptoms. None of the patients had an elevated white blood cell count, and none had fever.


CONCLUSIONS
Computed tomography scanning is noted to be helpful in making the diagnosis. Laparoscopy is noted to be the procedure of choice, because standard incisions may preclude one from a proper exploration.
Varjavandi
Vincent
V
Department of Surgery, The Floating Hospital for Children, Boston, MA 02111, USA.
Lessin
Marc
M
Kooros
Koorosh
K
Fusunyan
Robert
R
McCauley
Roy
R
Gilchrist
Brian
B
D015746:Abdominal Pain / Q000175:diagnosis / Q000209:etiology*; D000293:Adolescent; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007238:Infarction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D010535:Laparoscopy; D008297:Male; D009765:Obesity / Q000150:complications*; D009852:Omentum / Q000098:blood supply* / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D012307:Risk Factors; D014057:Tomography, X-Ray Computed