Computed Tomography and Ultrasound of Omental Infarction in Children: Differential Diagnoses of Right Lower Quadrant Pain

Lim, Soyeoun; Hong, Hyun Sook; Kim, Young Tong; Lee, Hae Kyung; Lee, Min Hee

doi:10.3348/jksr.2013.68.5.431

Cited by 3 publications

(1 citation statement)

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“…In this case, the patient was considered to have a negative ultrasound finding because the symptom was unclear and the presentation of abdominal pain was not localized. 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 ].…”

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%