Omental Infarction in an Obese 10-year-old Boy

Katerina Kambouri,Aggelos Tsalkidis,Alexandra Giatromanolaki,George Vaos,Stefanos Gardikis,Efthimios Sivridis

doi:10.4081/pr.2011.e22

Katerina Kambouri, Aggelos Tsalkidis + Show 4 more

Open Access

https://doi.org/10.4081/pr.2011.e22

Copy DOI

Journal: Pediatric Reports	Publication Date: Sep 12, 2011
Citations: 4	License type: cc-by

Affiliation: Democritus University of Thrace

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.

Highlights

A literature review revealed a few series involving children[1,2,4,5,6,7,8,9] and some sporadic isolated cases.[10]
Primary omental life, and with a male-to-female ratio of 2:1.2 recent years there has been an increasing infarction (POI) is rarely considered in the dif- Most authors support the hypothesis that it is prevalence of Primary omental infarction (POI) in children, which appears to ferential diagnosis of acute abdominal pain. associated with an anomalous and fragile coincide with the increased prevalence of obe
This condition has a low incidence worldwide, blood supply of the right lower portion of the sity in children.[4] with most cases occurring in adults; in the omentum, which is susceptible In most cases POI can be diagnosed either pediatric population, POI accounts for approxi- to infarction.[3]

Summary

Introduction

A literature review revealed a few series involving children[1,2,4,5,6,7,8,9] and some sporadic isolated cases.[10]. A literature review revealed a few series involving children[1,2,4,5,6,7,8,9] and some sporadic isolated cases.[10] Table 1 lists 8 series of pediatric POI including 88 patients (61 males and 27 females) that have been reported in the recent English-language literature.

Results

Conclusion