CD Chen, XM Chen, SC Wu

Abstract

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.

報導一名5歲小女孩患有急性闌尾炎和大網膜扭轉（OT），表現為急腹症。右上腹大網膜水腫，7.0釐米 x 6.0釐米 x 4.0釐米大小的硬殼團塊。它還以5 x 360高熄雅仱w方向旋轉。在同一時間，觀察到闌尾的變化。闌尾充血，水腫和硬殼，頂端有糞石，並沒有與大網膜粘連。扭轉的網膜和闌尾已被切除。病人痊癒順利，7天後出院。OT伴急性闌尾炎是一種罕見的病理情況，與一般的急性腹痛的症狀相似。腹腔鏡檢查是診斷和治療急性大網膜扭轉與急性闌尾炎的首選程式。