临床小儿外科杂志2025，Vol.24Issue(3)：260-264,5.DOI:10.3760/cma.j.cn101785-202306029-011
原发性网膜梗死17例临床分析
Clinical analysis of 17 cases of primary omental infarction in children
摘要
Abstract
Objective To summarize the clinical characteristics,diagnosis,and treatment of primary o-mental infarction in children.Methods A retrospective analysis was conducted on 17 pediatric cases of prima-ry omental infarction treated at Tianjin Children's Hospital from June 2017 to June 2022.The cohort included 14 males and 3 females,with a mean age of 8.5±2.7 years(range:4.9-12.8 years).Clinical presentations,la-boratory findings,imaging results,treatments,and pathological outcomes were analyzed.Results The mean weight of the children was 39.54±13.60 kg(range:20.8-66.9kg).Laboratory results showed a mean white blood cell(WBC)count of 12.53±3.84 × 109/L(range:6.34 × 109/L-21.26 × 109/L),a neutrophil per-centage(NEUT％)of 66.7％(range:60.1％-73.7％),and a mean C-reactive protein(CRP)of 23.71±23.20 mg/L(range:2.50mg/L-71.10 mg/L).All 17 cases presented with abdominal pain as the primary symptom,with a median time from onset to hospital visit of 48 hours(range:24-72 hours).The locations of abdominal tenderness included the right lower quadrant(7 cases),right upper quadrant(2 cases),right abdo-men(2 cases),periumbilical region(2 cases),upper abdomen(2 cases),left lower quadrant(1 case),and whole abdomen(1 case).Ultrasound examination was performed in all cases,revealing high-echo areas in 11 cases;low-echo areas in the intestinal lumen surrounded by high-echo regions in 3 cases;no detectable masses due to thick abdominal walls in 2 cases;and an inflammatory mass in the right lower quadrant in 1 case.Ab-dominal CT was performed in 12 cases,showing increased fat density in the omental region in 9 cases,striated hyperdense areas in 1 case,and increased mesenteric fat density in 2 cases.One case underwent plain and con-trast-enhanced abdominal CT,which revealed an oval hypodense lesion with mild enhancement.All 17 cases un-derwent laparoscopic partial omentectomy.Histopathological findings revealed omental torsion and omental in-farction in 11 cases,omental infarction in 6 cases.Conclusions Primary omental infarction is a rare cause of acute abdominal pain in children,most commonly presenting with right lower quadrant pain lasting 2-3 days,without gastrointestinal symptoms or fever.Ultrasound and CT play important roles in diagnosis.Laparoscopic surgery effectively,removes lesions and alleviates symptoms.关键词
梗死/腹膜腔/外科手术/儿童Key words
Infarction/Peritoneal Cavity/Surgical Procedures,Operative/Child引用本文复制引用
尹福瑞,万钧,王继忠..原发性网膜梗死17例临床分析[J].临床小儿外科杂志,2025,24(3):260-264,5.基金项目
天津市医学重点学科(专科)建设项目资助(TJYXZDXK-040A) Tianjin Key Medical Discipline(Specialty)Construction Project(TJYXZDXK-040A) （专科）
