DIAGNOSIS AND TREATMENT OF GLOMERULAR TORSION IN CHILDREN AND OPPORTUNITIES FOR LAPAROSCOPIC APPROACH

Abstract

This article analyzes the clinical presentation, diagnostic features, differential diagnosis, and surgical management of omental torsion in children. The aim of the study was to investigate the clinical characteristics of omental torsion as a cause of acute abdomen and to evaluate the potential of laparoscopic diagnosis and treatment. A retrospective analysis was performed on the clinical data of 11 patients treated at the Republican Scientific and Practical Center for Pediatric Minimally Invasive and Endoscopic Surgery between 2017 and 2025. The patients ranged in age from 5 to 13 years. Acute appendicitis was initially suspected in all cases. Clinical findings, laboratory results, and ultrasonographic data were assessed during the diagnostic process. Diagnostic laparoscopy enabled direct visualization of the abdominal organs, identification of omental torsion, and assessment of concomitant pathology. Laparoscopic resection of the affected portion of the greater omentum was performed in ten patients, whereas one patient underwent open surgery because of trauma-related findings. No postoperative complications were reported. The findings highlight the importance of considering omental torsion in the differential diagnosis of acute abdominal pain in children, using diagnostic laparoscopy when clinically indicated, and promptly treating the identified pathological changes.