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Acute Omental Infarction Mimicking Acute Appendicitis
Rahaf J Owedah1, Omar A Alshehri2, Nourah I Alfneekh3
1Medicine, Al-Rayan Colleges, Medina, SAU.
Cureus
|October 21, 2021
Summary
Acute omental infarction can mimic appendicitis in children. This case highlights the importance of imaging in diagnosing this condition, which can be managed conservatively.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Radiology
Background:
- Acute abdominal pain is a frequent emergency department presentation.
- Acute appendicitis is the leading surgical emergency in children.
- Mimics of appendicitis necessitate careful diagnostic evaluation.
Observation:
- A 7-year-old girl presented with two days of right lower quadrant pain, vomiting, and guarding.
- Clinical examination suggested acute appendicitis.
- Radiological findings on computed tomography (CT) scan indicated acute omental infarction.
Findings:
- The patient was diagnosed with acute omental infarction.
- Conservative management with analgesics and anti-inflammatory drugs was successful.
- Computed tomography (CT) imaging was crucial for diagnosis.
Implications:
- Physicians should consider acute omental infarction in pediatric patients with right lower quadrant pain.
- Advanced imaging plays a critical role in differentiating omental infarction from appendicitis.
- Non-operative management is a viable option for acute omental infarction.
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