Omental infarction in an obese 10-year-old boy
Primary omental infarction (POI) has a low incidence worldwide, with most cases occurring in adults. This condition is rarely considered in the differential diagnosis of acute abdominal pain in childhood. Herein, we present a case of omental infarction in an obese 10-year-old boy who presented with...
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| Published in | Pediatric reports Vol. 3; no. 3; p. e22 |
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| Main Authors | , , , , , |
| Format | Journal Article |
| Language | English |
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MDPI AG
12.09.2011
PAGEPress Publications |
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| Abstract | Primary omental infarction (POI) has a low incidence worldwide, with most cases occurring in adults. This condition is rarely considered in the differential diagnosis of acute abdominal pain in childhood. Herein, we present a case of omental infarction in an obese 10-year-old boy who presented with acute abdominal pain in the right lower abdomen. The ultrasound (US) examination did not reveal the appendix but showed secondary signs suggesting acute appendicitis. The child was thus operated on under the preoperative diagnosis of acute appendicitis but the intra-operative finding was omental infarct. Since the omental infarct as etiology of acute abdominal pain is uncommon, we highlight some of the possible etiologies and emphasize the importance of accurate diagnosis and appropriate treatment of omental infarction. |
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| AbstractList | Primary omental infarction (POI) has a low incidence worldwide, with most cases occurring in adults. This condition is rarely considered in the differential diagnosis of acute abdominal pain in childhood. Herein, we present a case of omental infarction in an obese 10-year-old boy who presented with acute abdominal pain in the right lower abdomen. The ultrasound (US) examination did not reveal the appendix but showed secondary signs suggesting acute appendicitis. The child was thus operated on under the preoperative diagnosis of acute appendicitis but the intraoperative finding was omental infarct. Since the omental infarct as etiology of acute abdominal pain is uncommon, we highlight some of the possible etiologies and emphasize the importance of accurate diagnosis and appropriate treatment of omental infarction. Primary omental infarction (POI) has a low incidence worldwide, with most cases occurring in adults. This condition is rarely considered in the differential diagnosis of acute abdominal pain in childhood. Herein, we present a case of omental infarction in an obese 10-year-old boy who presented with acute abdominal pain in the right lower abdomen. The ultrasound (US) examination did not reveal the appendix but showed secondary signs suggesting acute appendicitis. The child was thus operated on under the preoperative diagnosis of acute appendicitis but the intra-operative finding was omental infarct. Since the omental infarct as etiology of acute abdominal pain is uncommon, we highlight some of the possible etiologies and emphasize the importance of accurate diagnosis and appropriate treatment of omental infarction. |
| Author | Gardikis, Stefanos Giatromanolaki, Alexandra Vaos, George Sivridis, Efthimios Tsalkidis, Aggelos Kambouri, Katerina |
| AuthorAffiliation | Departments of 1 Pediatric Surgery 4 Laboratory of Experimental Surgery & Surgical Research, Alexandroupolis University Hospital, Democritus University of Thrace, School of Medicine, Alexandroupolis, Greece 3 Pediatrics 2 Pathology and |
| AuthorAffiliation_xml | – name: 4 Laboratory of Experimental Surgery & Surgical Research, Alexandroupolis University Hospital, Democritus University of Thrace, School of Medicine, Alexandroupolis, Greece – name: Departments of 1 Pediatric Surgery – name: 2 Pathology and – name: 3 Pediatrics |
| Author_xml | – sequence: 1 givenname: Katerina surname: Kambouri fullname: Kambouri, Katerina organization: Departments of Pediatric Surgery – sequence: 2 givenname: Stefanos surname: Gardikis fullname: Gardikis, Stefanos – sequence: 3 givenname: Alexandra surname: Giatromanolaki fullname: Giatromanolaki, Alexandra – sequence: 4 givenname: Aggelos surname: Tsalkidis fullname: Tsalkidis, Aggelos – sequence: 5 givenname: Efthimios surname: Sivridis fullname: Sivridis, Efthimios – sequence: 6 givenname: George surname: Vaos fullname: Vaos, George |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/22053266$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1016/j.jpedsurg.2009.01.032 10.1016/j.jpedsurg.2005.05.002 10.1016/j.jpeds.2009.03.039 10.1007/s002470050657 10.1148/radiology.185.1.1523302 10.2214/ajr.184.1.01840156 10.1007/s00247-007-0443-z 10.1053/jpsu.2003.50051 10.1016/S0002-9610(01)00825-X |
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| Notes | Contributions: KK, SG, AG, GV, study design; KK, AG, AT, GV, manuscript writing; KK, patient follow up; SG, ES data analysis and interpretation; SG, AT, patient assessment; SG, final manuscript drafting; AT, literature reviewing; ES, manuscript reviewing; GV, final manuscript approval. Conflict of interest: the authors report no conflicts of interest. |
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| References | Baldisserotto (ref7) 2005; 184 Lee (ref9) 2005; 46 Varjavandi (ref4) 2003; 38 Loh (ref5) 2005; 40 Rimon (ref6) 2009; 155 Schlesinger (ref8) 1999; 29 Puylaert (ref3) 1992; 185 Foscolo (ref10) 2007; 37 Nubi (ref1) 2009; 44 Helmrath (ref2) 2001; 182 |
| References_xml | – volume: 44 start-page: 953 year: 2009 ident: ref1 article-title: Primary omental infarct: conservative vs operative management in the era of ultrasound, computerized tomography, and laparoscopy publication-title: J Pediatr Surg doi: 10.1016/j.jpedsurg.2009.01.032 contributor: fullname: Nubi – volume: 40 start-page: 1224 year: 2005 ident: ref5 article-title: Omental infarction-a mimicker of acute appendicitis in children publication-title: J Pediatr Surg doi: 10.1016/j.jpedsurg.2005.05.002 contributor: fullname: Loh – volume: 155 start-page: 427 year: 2009 ident: ref6 article-title: Omental infarction in children publication-title: J Pediatr doi: 10.1016/j.jpeds.2009.03.039 contributor: fullname: Rimon – volume: 29 start-page: 598 year: 1999 ident: ref8 article-title: Sonographic appearance of omental infarction in children publication-title: Pediatr Radiol doi: 10.1007/s002470050657 contributor: fullname: Schlesinger – volume: 185 start-page: 169 year: 1992 ident: ref3 article-title: Right-sided Segmental infarction of the omentum: clinical, US, and CT findings publication-title: Radiology doi: 10.1148/radiology.185.1.1523302 contributor: fullname: Puylaert – volume: 46 start-page: 328 year: 2005 ident: ref9 article-title: Omental infarction in children: imaging features with pathological correlation publication-title: Singapore Med J contributor: fullname: Lee – volume: 184 start-page: 156 year: 2005 ident: ref7 article-title: Omental infarction in children. Color Doppler sonography correlated with surgery and pathology findings: publication-title: Am J Roentgenol doi: 10.2214/ajr.184.1.01840156 contributor: fullname: Baldisserotto – volume: 37 start-page: 575 year: 2007 ident: ref10 article-title: Segmental omental infarction in childhood: an unusual case of left-sided location with extension into pelvis publication-title: Pediatr Radiol doi: 10.1007/s00247-007-0443-z contributor: fullname: Foscolo – volume: 38 start-page: 233 year: 2003 ident: ref4 article-title: Omental infarction risk factors in children publication-title: J Pediatr Surg doi: 10.1053/jpsu.2003.50051 contributor: fullname: Varjavandi – volume: 182 start-page: 729 year: 2001 ident: ref2 article-title: Right lower quadrant pain in children caused by omental infarction publication-title: Am J Surg doi: 10.1016/S0002-9610(01)00825-X contributor: fullname: Helmrath |
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| Title | Omental infarction in an obese 10-year-old boy |
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