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Omental infarction in children
Ayelet Rimon1, Alan Daneman, J Ted Gerstle
1Division of Paediatric Emergency Medicine, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada.
The Journal of Pediatrics
|June 23, 2009
Summary
Omental infarction in children presents with right lower quadrant pain. Early diagnosis via imaging, particularly CT scans, can prevent unnecessary surgery and shorten hospital stays.
Area of Science:
- Pediatric Surgery
- Abdominal Imaging
- Gastroenterology
Background:
- Omental infarction is a rare surgical emergency in children.
- Clinical presentation can mimic appendicitis, leading to diagnostic challenges.
Purpose of the Study:
- To analyze clinical presentation, radiologic features, management, and outcomes of pediatric omental infarction.
- To evaluate the diagnostic accuracy of imaging modalities for omental infarction.
Main Methods:
- Retrospective chart review of 19 pediatric patients diagnosed with omental infarction.
- Re-examination of radiologic images (ultrasound and CT) by a staff radiologist.
Main Results:
- Omental infarction occurred in children with a mean age of 9.3 years.
- Common symptoms included right lower quadrant pain (47%) and gastrointestinal issues (63%).
- Abdominal ultrasound sensitivity was 64%, while CT sensitivity was 90%.
Conclusions:
- Accurate imaging diagnosis of omental infarction can prevent unnecessary appendectomies.
- Early identification through imaging may reduce hospital length of stay.
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