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Omental Infarction: An Underrecognized Cause of Right-Sided Acute Abdominal Pain in Children

Giovanni Di Nardo1, Marco Di Serafino2, Giovanni Gaglione3

  • 1From the NESMOS Department, School of Medicine and Psychology, Sapienza University of Rome, Sant'Andrea University Hospital, Rome.

Pediatric Emergency Care
|November 10, 2020
PubMed

Insights

Omental infarction (OI) affects 7% of children with suspected appendicitis. Ultrasonography aids diagnosis and management, with conservative therapy proving safe and effective for this condition.

Area of Science:

  • Pediatric Surgery
  • Diagnostic Imaging
  • Gastroenterology

Background:

  • Omental infarction (OI) is a potential cause of abdominal pain in children.
  • Its prevalence and diagnostic challenges in suspected appendicitis warrant investigation.

Purpose of the Study:

  • To determine the incidence of omental infarction (OI) in children presenting with suspected appendicitis.
  • To assess the role of ultrasonography (US) in diagnosing and managing OI.
  • To evaluate the efficacy of conservative management for OI.

Main Methods:

  • Prospective enrollment of children with suspected acute appendicitis.
  • Serial ultrasonography (US) for diagnosis and follow-up of OI.
  • Conservative management for all diagnosed cases of OI.

Main Results:

  • Omental infarction (OI) was identified in 7% of 199 children evaluated.
  • Ultrasonography (US) accurately depicted OI in all affected children.
  • Conservative management was successful in all 14 cases without complications.

Conclusions:

  • Omental infarction (OI) is an underrecognized cause of pediatric abdominal pain, occurring in 7% of suspected appendicitis cases.
  • Ultrasonography (US) is a valuable tool for diagnosing and guiding the management of OI.
  • Conservative therapy is a safe and effective treatment strategy for pediatric omental infarction (OI).
Abstract

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