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Omental infarction in pediatric patients: sonographic and CT findings

J Damien Grattan-Smith1, David E Blews, Theodore Brand

  • 1Department of Radiology, Children's Healthcare of Atlanta at Scottish Rite, 1001 Johnson Ferry Rd., Atlanta, GA 30342, USA.

AJR. American Journal of Roentgenology
|May 30, 2002
PubMed

Insights

Omental infarction in children often mimics appendicitis. Imaging reveals a characteristic mass, helping radiologists differentiate it from acute appendicitis in pediatric patients.

Area of Science:

  • Pediatric Radiology
  • Abdominal Imaging
  • Gastrointestinal Pathology

Background:

  • Omental infarction presents with abdominal pain in children, frequently misdiagnosed as acute appendicitis.
  • Accurate diagnosis is crucial to avoid unnecessary surgical intervention.

Purpose of the Study:

  • To retrospectively review imaging findings in pediatric omental infarction.
  • To assist radiologists in distinguishing omental infarction from acute appendicitis.

Main Methods:

  • Retrospective review of imaging studies.
  • Analysis of nine pediatric cases with confirmed omental infarction.

Main Results:

  • Omental infarction demonstrated as a heterogeneous mass on CT and sonography.
  • The mass was consistently located between the anterior abdominal wall and the colon.

Conclusions:

  • Characteristic imaging findings aid in diagnosing pediatric omental infarction.
  • Radiologists should consider omental infarction in the differential diagnosis of acute abdominal pain in children.
Abstract

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