Abstract
Omental infarction and epiploic appendagitis are rare causes of acute abdominal pain in the pediatric population. Radiological evaluation is necessary to establish a specific diagnosis and to differentiate appendicitis from these conditions as they can be often managed conservatively without surgical intervention.
Highlights
IntroductionVillanueva, C.; Brun Lozano, N.; Goruppi, I.; Boronat Guerrero, S
We report two cases of primary abdominal fat necrosis, aiming to spread awareness to physicians regarding the clinical presentation and management of this unusual cause of pediatric acute abdominal pain
Omental infarction (OI) is a rare pediatric condition; it accounts for approximately 15% of all cases reported [8] and it occurs in 0.1% of children evaluated for acute appendicitis (AA)
Summary
Villanueva, C.; Brun Lozano, N.; Goruppi, I.; Boronat Guerrero, S. Abdominal pain is a common complaint in children presenting to emergency department. The differential diagnosis includes serious surgical pathologies. Omental infarction (OI) and epiploic appendagitis (EA) are included in primary abdominal fat necrosis and are rare causes of abdominal pain in children [1,2,3]; because the clinical presentation is not pathognomonic, they can mimic acute appendicitis (AA). Identification by imaging studies may prevent unnecessary surgical procedures [4,5]. We report two cases of primary abdominal fat necrosis, aiming to spread awareness to physicians regarding the clinical presentation and management of this unusual cause of pediatric acute abdominal pain.
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