Childhood Obesity: A Risk Factor for Omental Torsion

Author:

Theriot Judy A.1,Sayat Jon1,Franco Sofia1,Buchino John J.2

Affiliation:

1. Department of Pediatrics/Children and Youth Project, University of Louisville School of Medicine, Louisville, Kentucky

2. Department of Pediatrics and Pathology, University of Louisville, Kosair Children’s Hospital, Louisville, Kentucky

Abstract

Purpose. To determine the risk factors and clinical presentation of primary omental torsion (POT) in children. Methods. Histopathology records of a pediatric hospital from January 1993 to March 2003 were reviewed to identify cases of POT. Hospital charts of patients diagnosed with POT were reviewed for demographic data and clinical presentation. Results. A diagnosis of POT was recorded in 12 of 41 987 pathology records reviewed. Most of the patients were white (92%), male (75%), and 9 to 16 years old (75%). Weight percentiles were ≥95th in 11 (92%) of 12 patients. Body mass index was calculated in 9 of the 12 cases with 8 >95th percentile. Clinical presentation including right-sided abdominal pain, tenderness, and anorexia closely mimics acute appendicitis. Conclusions. Obesity seems to be an important risk factor for POT in children. The presentation for POT seems to be less acute than with other causes of surgical abdomen.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology, and Child Health

Reference25 articles.

1. Eitel GG. Rare omental tumor. Med Record.1899;55:715–716

2. Basson SE, Jones PA. Primary torsion of the omentum. Ann R Coll Surg Engl.1981;63:132–134

3. Sweeney MJ, Blestel GA, Ancalmo N. Primary torsion of the greater omentum. A rare cause of abdominal pain in children. JAMA.1983;249:3073

4. Rich RH, Filler RM. Segmental infarction of the greater omentum: a cause of acute abdomen in children. Can J Surg.1983;26:241–243

5. Ouzkurt P, Kotio|fdlu E, Tanyel FC, Hicsonmez A. Primary omental torsion in a 6-year-old girl. J Pediatr Surg.1995;30:1700–1701

Cited by 64 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3