Epiploic Appendagitis and Omental Infarction as Rare Causes of Acute Abdominal Pain in Children

Bianchi, Federica; Villanueva, Carmen Navarro; Lozano, Núria Brun; Goruppi, Ilaria; Boronat, Susana

doi:10.3390/pediatric13010010

Cited by 5 publications

(2 citation statements)

References 41 publications

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“…Clinically, OI is difficult to distinguish from acute appendicitis and often misdiagnosed as acute appendicitis, leading to surgery[ 19 ]. Although abdominal ultrasonography is a safe diagnostic method, CT is the gold standard for the diagnosis of OI due to its high specificity and sensitivity[ 3 , 20 ]. Therefore, CT may be considered if acute appendicitis is not clearly ruled out or if abdominal pain persists even after acute appendicitis is excluded.…”

Section: Discussionmentioning

confidence: 99%

Omental infarction diagnosed by computed tomography, missed with ultrasonography: A case report

Hwang¹,

Cho²,

Kang³

et al. 2023

World J Clin Cases

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BACKGROUND Omental infarction (OI) is a surgical abdominal disease that is not common in adults and is very rare in children. Similar to various acute abdominal pain diseases including appendicitis, diagnosis was previously achieved by diagnostic laparotomy but more recently, ultrasonography or computed tomography (CT) examination has been used. CASE SUMMARY A 6-year-old healthy boy with no specific medical history visited the emergency room with right lower abdominal pain. He underwent abdominal ultrasonography by a radiologist to rule out acute appendicitis. He was discharged with no significant sonographic finding and symptom relief. However, the symptoms persisted for 2 more days and an outpatient visit was made. An outpatient abdominal CT was used to make a diagnosis of OI. After laparoscopic operation, his symptoms resolved. CONCLUSION In children’s acute abdominal pain, imaging studies should be performed for appendicitis and OI.

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Section: Discussionmentioning

confidence: 99%

Omental infarction diagnosed by computed tomography, missed with ultrasonography: A case report

Hwang¹,

Cho²,

Kang³

et al. 2023

World J Clin Cases

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“…As shown in our case, but also in the literature, conservative treatment in the form of oral anti-inflammatory drugs and/or antibiotic therapy leads to a decrease in the severity and subsequent subsidence of clinical symptoms. Thus, conservative treatment is safe and no complications are observed in long-term follow-up [8,12,17]. On the other hand, surgical treatment is also used in clinical practice.…”

Section: Discussionmentioning

confidence: 99%

Omental Infarction in a Child—Conservative Management as an Effective and Safe Strategy in Diagnosis and Treatment

Kozłowski

Piotrowska

Giżewska-Kacprzak

2021

IJERPH

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Omental infarction (OI) is a rare disease occurring in children. Important risk factors include overweight and obesity. The clinical presentation is often non-specific, and the main symptom is acute abdominal pain. In addition, infarcted omentum may present with fever, anorexia, nausea, vomiting, diarrhea and dysuria. Due to the localisation of the pain, OI should be differentiated from acute appendicitis. The diagnosis of OI is sometimes made intraoperatively, during appendectomy for suspected acute appendicitis. Hence, it is important to state a correct preoperative diagnosis, which is commonly based on abdominal ultrasound and computed tomography. The treatment of OI is still inconclusive. Both conservative and surgical treatments are used. Both methods have their advantages and disadvantages. The decision of which treatment to follow should be multifactorial and include the patient’s clinical condition at the time of admission, the progression or regression of symptoms during hospitalization and laboratory and imaging findings. We present a clinical case of a 9-year-old overweight girl with OI, whose diagnosis was based on imaging diagnostics and enabled conservative treatment with no complications. The case we have described confirms that the conservative treatment is an effective and safe therapy.

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Cecal epiploic appendagitis mimicking acute appendicitis in an 8-year-old child: A case report

Tahir

Zahid

Janjua

et al. 2023

Journal of Pediatric Surgery Case Reports

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Epiploic Appendagitis and Omental Infarction as Rare Causes of Acute Abdominal Pain in Children

Cited by 5 publications

References 41 publications

Omental infarction diagnosed by computed tomography, missed with ultrasonography: A case report

Omental infarction diagnosed by computed tomography, missed with ultrasonography: A case report

Omental Infarction in a Child—Conservative Management as an Effective and Safe Strategy in Diagnosis and Treatment

Cecal epiploic appendagitis mimicking acute appendicitis in an 8-year-old child: A case report

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