Omental infarction in a child

Case contributed by Nafisa Shakir Batta

Presentation

5 day history of right iliac fossa pain and a 2 day history of vomiting.

Patient Data

Age: 8 years
Gender: Male

Focal thickening of omentum is seen in right iliac fossa with significant haziness, heterogeinity and fat stranding suggestive of  segmental omental infarction.

Minimal free fluid seen in the pelvis with small, radiologically insignificant multiple mesenteric lymphnodes.

Case Discussion

Noncontrast CT of abdomen reveals minimal ascites with disproportionate fat stranding in anterior omentum at right iliac fossa : findings consistent with segmental omental infarction.

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