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Segmental omental infarction in childhood: a typical case diagnosed by CT allowing successful conservative treatment

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Coulier, B.

Segmental omental infarction (SOI) is an uncommon cause of right lower quadrant pain in children that is often misdiagnosed as appendicitis. During the last decade, imaging findings of SOI have proved to be sufficiently typical to avoid unnecessary surgery in the majority of reported adult patients. The condition has a spontaneous favourable evolution under medical treatment. In children the surgical option remains controversial. We report a typical case of SOI in a 10-year-old boy. The diagnosis was suspected by sonography, unambiguously confirmed by multidetector CT and successfully treated conservatively. This report emphasizes the use of CT in selected acute abdominal situations, peculiarly in obese children, to avoid unnecessary surgery.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès restreint
Publication date 2006
Language Anglais
Journal information "Pediatric Radiology : roentgenology, nuclear medicine, ultrasonics, CT, MRI" - Vol. 36, no. 2, p. 141-143 (2006)
Peer reviewed yes
Publisher Springer (New York)
issn 0301-0449
e-issn 1432-1998
Publication status Publié
Affiliation UCL
Keywords abdomen ; omentum ; segmental infarction ; child ; sonography ; CT
Links
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Bibliographic reference Coulier, B.. Segmental omental infarction in childhood: a typical case diagnosed by CT allowing successful conservative treatment. In: Pediatric Radiology : roentgenology, nuclear medicine, ultrasonics, CT, MRI, Vol. 36, no. 2, p. 141-143 (2006)
Permanent URL http://hdl.handle.net/2078.1/38920