Nonoperative management of a omental infarction: a case report in a child

被引:31
作者
Fragoso, Ana Catarina
Pereira, Jose Miguel
Estevao-Costa, Jose [1 ]
机构
[1] Hosp Sao Joao, Fac Med, Serv Cirurg Pediat, Div Pediat Surg, P-4200319 Oporto, Portugal
[2] Hosp Sao Joao, Fac Med Porto, Dept Radiol, P-4200319 Oporto, Portugal
关键词
abdominal pain; omentum; infarction; nonoperative treatment;
D O I
10.1016/j.jpedsurg.2006.05.038
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Omental infarction is a rare entity in children that is usually diagnosed during surgery for suspected appendicitis. We report the clinical case of an obese boy presenting with abdominal pain and right-sided tenderness without fever, anorexia, or leukocytosis. Abdominal ultrasonography suggested omental infarction, and computed tomography confirmed the diagnosis. Nonoperative management was adopted with rapid and uneventful recovery. Nonoperative treatment of omental infarction is safe and effective; accurate diagnosis is therefore crucial to enable a conservative approach. Suggestive clinical features and diagnostic workup are addressed. (c) 2006 Elsevier Tue. All rights reserved.
引用
收藏
页码:1777 / 1779
页数:3
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