Epiploic appendicitis a rare cause of acute abdomen in children. Report of a case and review of the literature

被引:0
作者
Solorzano-Morales, S. A. [1 ]
Castillo-Rodriguez, S. A. [2 ]
Laurindo-Mariano de Oliveira, G. [2 ]
Arredondo-Villanueva, J. G. [3 ]
Ridaura-Sanz, C. [4 ]
机构
[1] Inst Nacl Pediat, Serv Ultrasonido, Ciudad De Mexico 04530, DF, Mexico
[2] Inst Nacl Pediat, Alta Especialidad Radiol Pediat, Ciudad De Mexico 04530, DF, Mexico
[3] Inst Nacl Pediat, Cirugia Pediat, Ciudad De Mexico 04530, DF, Mexico
[4] Inst Nacl Pediat, Serv Patol Postmortem, Ciudad De Mexico 04530, DF, Mexico
来源
ACTA PEDIATRICA DE MEXICO | 2016年 / 37卷 / 02期
关键词
Abdominal pain; epiploic appendicitis; epiploitis;
D O I
10.18233/APM37No2pp88-93
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Epiploic appendicitis is a hemorrhagic infarction of an epiploic appendix, caused by a spontaneous twist or thrombosis. Usually the diagnosis is incidental in abdominal radiological studies performed for other causes of acute abdominal pain, its important to keep in mind entity, A correct diagnosis makes avoids hospitalization and surgery. Epiploic appendicitis usually resolves in 5-7 days. It is treated usually only with analgesics. Most cases are described in adults but in our institution is the second diagnosed case. CLINICAL CASE: We present a 9 year old male patient with a presumptive diagnosis of appendicitis. The definitive diagnos is was made with ultrasound tomography with which an omental appendicitis was documented. It was corroborated by pathologic examination. CONCLUSIONS: Our purpose is to describe the epiploic appendicitis in children as a cause of acute abdomen, as well as clinical, ultrasonographic, computed tomography and histopathology findings of this disease as a rare cause of acute abdomen. It is important to emphasize the value of imaging studies of this entity, in order to avoid unnecessary surgical procedure is known.
引用
收藏
页码:88 / 93
页数:6
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