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Simultaneous omental infarction and acute appendicitis in a child

H T Koay1, H E S Mahmoud2

  • 1KK Women's and Children's Hospital, Singapore, 100 Bukit Timah Road, Singapore 229899. aaron_42281@hotmail.com.

The Medical Journal of Malaysia
|June 3, 2015
PubMed

Insights

Simultaneous omental infarction and acute appendicitis, though rare in children, can occur. Early ultrasound diagnosis and prompt surgery are key for successful treatment and recovery in pediatric cases.

Area of Science:

  • Pediatric Surgery
  • Diagnostic Imaging
  • Gastrointestinal Diseases

Background:

  • Omental infarction and acute appendicitis are distinct pediatric surgical emergencies.
  • Co-occurrence of omental infarction and acute appendicitis is exceptionally rare in children.
  • Both conditions often present with similar symptoms, complicating diagnosis.

Purpose of the Study:

  • To report a rare case of simultaneous omental infarction and acute appendicitis in a pediatric patient.
  • To highlight the diagnostic utility of ultrasound in such co-occurring conditions.
  • To emphasize the importance of prompt surgical intervention.

Main Methods:

  • Case report of a pediatric patient with right-sided abdominal pain.
  • Preoperative diagnosis utilizing ultrasound imaging.
  • Surgical intervention and postoperative follow-up.

Main Results:

  • The case involved a child presenting with a 3-day history of right-sided abdominal pain.
  • Ultrasound successfully diagnosed both omental infarction and acute appendicitis preoperatively.
  • The child recovered uneventfully following prompt surgical management.

Conclusions:

  • Simultaneous omental infarction and acute appendicitis can occur in children.
  • Ultrasound is a valuable tool for diagnosing these co-existing conditions.
  • Timely surgical intervention leads to favorable outcomes in pediatric patients.

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