Torsion of the lesser omentum in a child

• Published in: European journal of radiology extra Vol. 71; no. 3; pp. e127 - e129
• Main Authors: Verdries, D, Ceulemans, G, de Vogelaere, K, Goossens, A, Pilate, I, Blom, M, Yasar, A, Vandenbroucke, F
• Format: Journal Article
• Language: English
• Published: Elsevier Ireland Ltd 01-09-2009
• Subjects: Child; CT diagnosis; Lesser omentum; Omental torsion; Radiology; Omental torsion; Lesser omentum; Child; CT diagnosis
• ISSN: 1571-4675; 1571-4675
• DOI: 10.1016/j.ejrex.2009.03.011

Abstract Torsion of the lesser omentum is a rare cause of acute abdomen. We report a case of a primary torsion of the lesser omentum in a 10-year-old girl with epigastric pain. Computed tomographic (CT) study showed a well-circumscribed oval fatty mass between the left hepatic lobe and the lesser gastric curvature. Surgical exploration revealed a fatty inflammatory structure of soft consistency within the lesser omentum, which appeared to have twisted on its omental pedicle. There was macroscopically and microscopically no evidence of a mass. Knowledge of this pathology is important to the surgeon because it mimics the common causes of acute surgical abdomen.