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Magnetic resonance imaging of epiploic appendagitis in children

Alessandro Boscarelli1, Simone Frediani1, Silvia Ceccanti1

  • 1Paediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, RM 00161, Italy.

Journal of Pediatric Surgery
|October 8, 2016
PubMed

Insights

Epiploic appendagitis is rare in children but can mimic appendicitis. Magnetic resonance imaging (MRI) offers a non-invasive diagnostic tool for this condition in pediatric patients.

Area of Science:

  • Pediatric Surgery
  • Abdominal Imaging
  • Gastroenterology

Background:

  • Epiploic appendagitis is an uncommon cause of acute abdominal pain.
  • It is rarely reported in pediatric populations.
  • Clinical presentation can mimic more common conditions like appendicitis.

Purpose of the Study:

  • To describe the presentation and diagnosis of epiploic appendagitis in children.
  • To evaluate the utility of magnetic resonance imaging (MRI) in diagnosing pediatric epiploic appendagitis.
  • To highlight MRI as a non-invasive alternative to computed tomography (CT).

Main Methods:

  • Case report of two children with abdominal pain.
  • Diagnostic workup included physical examination, laboratory tests, and advanced imaging.
  • Magnetic resonance imaging (MRI) was utilized for diagnosis.
  • Laparoscopy was performed for confirmation in one case.

Main Results:

  • Both children presented with symptoms suggestive of appendicitis.
  • MRI accurately characterized epiploic appendagitis in both cases.
  • Diagnosis was confirmed intraoperatively in one patient.

Conclusions:

  • Epiploic appendagitis, though rare, should be considered in the differential diagnosis of pediatric abdominal pain.
  • MRI is a valuable and non-invasive imaging modality for diagnosing epiploic appendagitis in children.
  • MRI can help avoid unnecessary surgical interventions for unusual causes of acute pediatric abdominal pain.
Keywords:
Abdominal painChildrenEpiploic appendagesEpiploic appendagitisMagnetic resonance imaging

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