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

World J Clin Cases

Department of Pediatrics, Hanyang University Guri Hospital, Hanyang University College of Medicine, Guri-si 11923, Gyeonggi-do, South Korea.

Published: February 2023

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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9928693PMC
http://dx.doi.org/10.12998/wjcc.v11.i4.972DOI Listing

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