Primary omental torsion in children; a case series with review of literature

Background: primary omental torsion (pot) is an uncommon entity which is usually incidentally diagnosed in patients being operated for other diagnoses. mostly patients are diagnosed as acute appendicitis and the diagnosis of pot is made peroperatively. aim: to look for demographics,presentation and treatment in cases of pot. method: this was a retrospective study conducted at paediatric surgery departments of mayo hospital and services hospital,lahore from august 2004 to august 2014. details of all the patients including age,gender,duration of symptoms,presenting complaints,laboratory investigation,provisional diagnosis,operative findings and associated obesity were noted results: a total of 8 patients with diagnosis of pot were included in the study. male to female ratio was found to be 3: 1. most common presenting complaint was pain right iliac fossa and all patients had preoperative diagnosis of acute appendicitis. in all the patients' diagnosis of pot was made peroperatively,so appendicectomy and excision of omentum was done in all patients. conclusion: in conclusion,though nonspecific symptoms and sign of pot are there,it must be considered preoperatively as differential of pain rif and peroperatively if appendix is normal in patient being operated for acute appendicitis.