Left-Sided Omental Torsion in a Child: Successful Conservative Management: A Case Report and Review of the Literature

Sağ, Sefa; Bekırcavusoglu, Suleyman; Elemen, Levent

doi:10.22038/ijp.2020.51809.4124

Left-Sided Omental Torsion in a Child: Successful Conservative Management: A Case Report and Review of the Literature

Authors

Sefa Sağ ¹

Suleyman Bekırcavusoglu ²

Levent Elemen ³

¹ University of Health Sciences, Kanuni Education and Research Hospital, Department of Pediatric Surgery, Trabzon/ Turkey

² University of Health Sciences, Kanuni Education and Research Hospital, Department of Radiology, Trabzon/ Turkey

³ University of Health Sciences, Sancaktepe Prof Dr. İlhan Varank Education and Research Hospital, Department of Pediatric Surgery, Istanbul/ Turkey

10.22038/ijp.2020.51809.4124

Abstract

Background: Omental torsion (OT) is an infrequent cause of acute abdomen in children. OT is usually located in the right iliac fossa, and a left-sided localization is rare, primarily seen in adults. Herein, a left-sided OT in a pediatric patient is presented because of its unusual localization managed successfully with conservative treatment.
Case Presentation: A nine-year-old boy was admitted with left upper quadrant abdominal pain, anorexia, and vomiting. His medical history was significant for an appendectomy which was performed two months before. The patient was diagnosed with an OT with clinical findings and imaging techniques; thus, conservative treatment was applied successfully. The case was treated in the University of Health Sciences, Kanuni Education and Research Hospital, Department of Pediatric Surgery, Trabzon, Turkey, in March 2020.
Conclusion: Usually, there is no underlying condition in the OTs, but previous abdominal surgery or inguinal hernia repair may be the predisposing factor. Conservative treatment may be possible if a prompt diagnosis could be established, and unnecessary surgery may be avoided with a close follow-up.

Keywords

Acute abdomen

Child

Infarction

Omentum torsion