Not only fat: omental infarction and its mimics in children. Clinical and ultrasound findings: a pictorial review
- PDF / 1,660,988 Bytes
- 9 Pages / 595.276 x 790.866 pts Page_size
- 20 Downloads / 149 Views
PICTORIAL ESSAY
Not only fat: omental infarction and its mimics in children. Clinical and ultrasound findings: a pictorial review Francesco Esposito1 · Marco Di Serafino2 · Angela Mauro3 · Carmela Mercogliano4 · Chiara Cocco5 · Letizia Zenzeri3 · Dolores Ferrara1 · Francesca Iacobellis2 · Melania Evangelisti5 · Chiara Ziparo5 · Giovanni Di Nardo5 Received: 30 April 2020 / Accepted: 9 June 2020 © Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2020
Abstract Acute abdominal pain in children is the most common cause of emergency department admissions. Omental infarction is a rare cause of acute abdominal pain in this age group, accounting for approximately 15% of cases in children and 0.024–0.1% of cases of surgery for suspected appendicitis at the same age. Its clinical presentation may mimic similar diseases such as acute appendicitis, epiploic appendagitis, and mesenteric panniculitis. Ultrasound is the modality of choice for the initial evaluation of acute abdominal pain in pediatric patients and it can be used with confidence in the diagnosis and management of omental infarction in children. In this brief review, we focus on the main ultrasound findings and their diagnostic clue for omental infarction and its mimics. Keywords Omental infarction · Appendicitis · Epiploic appendagitis · Mesenteric panniculitis · Ultrasound
Introduction Acute abdominal pain in children is the most common cause of emergency department admissions. A significant number of clinically variable diseases can cause this symptom, Francesco Esposito, Marco Di Serafino and Angela Mauro contributed equally to this work. Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40477-020-00492-5) contains supplementary material, which is available to authorized users. * Marco Di Serafino [email protected] 1
Department of Emergency Radiology, “SantobonoPausilipon” Children’s Hospital, Naples, Italy
Department of General and Emergency Radiology, “Antonio Cardarelli” Hospital, Antonio Cardarelli st 9, 80131 Naples, Italy
2
3
Department of Pediatric Emergency, “Santobono-Pausilipon” Children’s Hospital, Naples, Italy
4
Department of Pediatric 2nd Unit, “Santobono-Pausilipon” Children’s Hospital, Naples, Italy
5
Chair of Pediatrics, NESMOS Department, Faculty of Medicine and Psychology, “Sapienza” University of Rome, “Sant’Andrea” University Hospital, Rome, Italy
including gastroenteritis, appendicitis, urinary tract infection, mesenteric lymphadenitis, constipation, and ovarian cysts in females [1, 2]. In addition to the more common diseases underlying abdominal pain, a rare cause of acute abdominal pain in children is omental infarction (OI), which accounts for approximately 15% of cases in children and 0.024–0.1% of cases of surgery for suspected appendicitis at the same age [3, 4]. First described by Bush et al. in 1896 as omental infarction and subsequently by Eittel et al. in 1899 as omental torsion, this rare condition, which may strike at any age with
Data Loading...
