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Omental infarction in children: imaging features with pathological correlation
1Department of Diagnostic Imaging, KK Women's and Children's Hospital, 100 Bukit Timah Road, Singapore 229899. wickly_lee@nni.com.sg
Singapore Medical Journal
|June 22, 2005
Summary
Pediatric omental infarction, a rare cause of acute abdomen, can be diagnosed pre-operatively. Computed tomography (CT) findings are suggestive, while histopathology often reveals vasculitis.
Area of Science:
- Pediatric Surgery
- Radiology
- Pathology
Background:
- Omental infarction is an uncommon condition in children, often presenting as acute abdomen.
- It can mimic other surgical emergencies like appendicitis and cholecystitis.
Purpose of the Study:
- To review clinical and imaging findings of pediatric omental infarction.
- To identify features aiding pre-operative diagnosis.
Main Methods:
- Retrospective review of six pediatric cases with histopathologically confirmed omental infarction.
- Analysis of clinical presentation, ultrasonography, and computed tomography (CT) findings.
Main Results:
- CT demonstrated suggestive findings aiding pre-operative diagnosis of omental infarction.
- Ultrasonography findings were less specific.
- Histopathology revealed vasculitis in all reviewed cases.
Conclusions:
- Clinical and imaging features can facilitate pre-operative diagnosis of pediatric omental infarction.
- Vasculitis is a potential underlying pathology for this condition.