Acute abdominal pain in children is the most common cause of emergency department admissions. Omental infarction is a rare cause of acute abdominal pain in this age group, accounting for approximately 15% of cases in children and 0.024-0.1% of cases of surgery for suspected appendicitis at the same age. Its clinical presentation may mimic similar diseases such as acute appendicitis, epiploic appendagitis, and mesenteric panniculitis. Ultrasound is the modality of choice for the initial evaluation of acute abdominal pain in pediatric patients and it can be used with confidence in the diagnosis and management of omental infarction in children. In this brief review, we focus on the main ultrasound findings and their diagnostic clue for omental infarction and its mimics.
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http://dx.doi.org/10.1007/s40477-020-00492-5 | DOI Listing |
J Med Case Rep
November 2024
Gastroenterology & Hepatology, Marshall University, Huntington, WV, USA.
Background: Anaplastic large-cell lymphoma primarily involving the omentum is an extremely rare entity with variable clinical presentation. Owing to its rarity and nonspecific clinical manifestation, omental T-cell lymphoma is often diagnosed at a later stage, riddled with complications. While imaging modalities such as computed tomography scan can help a physician reach a diagnosis, cases that present with complications may require a multidisciplinary approach that combines surgical exploration along with consultation from Oncology.
View Article and Find Full Text PDFCureus
August 2024
General Surgery, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE) Regional Hospital, Monterrey, MEX.
Omental infarction is a rare but threatening cause of acute abdomen. The preoperative diagnosis is challenging due to its infrequent nature. It poses nonspecific abdominal signs that can be easily mistaken for other more common intra-abdominal pathologies.
View Article and Find Full Text PDFWorld J Clin Cases
August 2024
Department of Surgery, İzmir Katip Celebi University, School of Medicine, İzmir 35150, Türkiye.
Background: Idiopathic omental infarction (IOI) is challenging to diagnose due to its low incidence and vague symptoms. Its differential diagnosis also poses difficulties because it can mimic many intra-abdominal organ pathologies. Although hypercoagulability and thrombosis are among the causes of omental infarction, venous thromboembolism scanning is rarely performed as an etiological investigation.
View Article and Find Full Text PDFJ Surg Case Rep
August 2024
General Surgery, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia.
Cureus
July 2024
Emergency Medicine, Mayo Clinic Arizona, Phoenix, USA.
Intraperitoneal focal fat infarction (IFFI) is a rare condition characterized by infarction of fatty tissue within the abdominal cavity. Lesser omental infarction, a relatively rare type of IFFI, occurs when there is an infarction of fat within the lesser omentum. Patients typically present with acute abdominal pain that can mimic more serious conditions.
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