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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
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Case Report: A Child With Omental Infarction.
Angela Y Zhang1, Georgia M Griffin1, Baer A Karrington1
1Department of Pediatrics, University of Washington School of Medicine, Seattle, Washington.
The Journal of Emergency Medicine
|April 9, 2023
Summary
Omental infarction (OI) is a rare cause of acute abdominal pain. Imaging can diagnose this benign condition, preventing unnecessary surgery for patients presenting with severe quadrant pain.
Area of Science:
- Medical imaging
- Pediatric surgery
- Gastroenterology
Background:
- Omental infarction (OI) is an uncommon cause of acute abdominal pain.
- It is typically a benign and self-limiting condition.
- Diagnosis relies on medical imaging, with causes including torsion, trauma, hypercoagulability, vasculitis, or pancreatitis.
Observation:
- This report details a case of omental infarction in a pediatric patient.
- The child presented with acute, severe right upper quadrant pain.
- Omental infarction diagnosis was confirmed via imaging.
Findings:
- Imaging is crucial for diagnosing omental infarction.
- Omental infarction can mimic surgical emergencies.
- Accurate diagnosis prevents invasive procedures.
Implications:
- Emergency physicians should consider omental infarction in the differential diagnosis of acute abdominal pain.
- Timely diagnosis through imaging avoids unnecessary surgical interventions.
- Awareness of OI improves patient outcomes and reduces healthcare costs.
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