Omental torsion mimicking perforated appendicitis in a pediatric patient: emergency bedside sonography

Preoperative diagnosis of this disease process is challenging as radiographic findings are often variable and the clinical presentation often mimics other pathologic entities including acute appendicitis or acute abdomen of poorly defined origin. Omental torsion is a rare pathologic entity in which...

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Published inThe American journal of emergency medicine Vol. 34; no. 3; pp. 684.e3 - 684.e4
Main Authors Brazg, Jared, MD, Haines, Lawrence, MD, Levine, Marla C., MD
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.03.2016
Elsevier Limited
Subjects
Abdomen
Appendicitis
Appendicitis - diagnostic imaging
Appendicitis - surgery
Appendix
Child, Preschool
Diagnosis, Differential
Emergencies
Emergency
Emergency medical care
Humans
Laparoscopy
Male
Omentum - blood supply
Omentum - diagnostic imaging
Pathology
Pediatrics
Point-of-Care Systems
Torsion Abnormality - diagnostic imaging
Torsion Abnormality - surgery
Ultrasonic imaging
Ultrasonography
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Summary:Preoperative diagnosis of this disease process is challenging as radiographic findings are often variable and the clinical presentation often mimics other pathologic entities including acute appendicitis or acute abdomen of poorly defined origin. Omental torsion is a rare pathologic entity in which the omentum twists along its long axis to a degree whereupon the vascular flow is compromised and the omentum becomes ischemic. Because it was first described by Eitel in 1899, less than 250 cases of omental torsion have been described in the literature [1,2].
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0735-6757
1532-8171
DOI:10.1016/j.ajem.2015.07.058