Department of Emergency Radiology, "Santobono-Pausilipon" Children's Hospital, Naples, Italy.
Department of General and Emergency Radiology, "Antonio Cardarelli" Hospital, Antonio Cardarelli st 9, 80131, Naples, Italy.
J Ultrasound. 2020 Dec;23(4):621-629. doi: 10.1007/s40477-020-00492-5. Epub 2020 Jul 4.
Acute abdominal pain in children is the most common cause of emergency department admissions. Omental infarction is a rare cause of acute abdominal pain in this age group, accounting for approximately 15% of cases in children and 0.024-0.1% of cases of surgery for suspected appendicitis at the same age. Its clinical presentation may mimic similar diseases such as acute appendicitis, epiploic appendagitis, and mesenteric panniculitis. Ultrasound is the modality of choice for the initial evaluation of acute abdominal pain in pediatric patients and it can be used with confidence in the diagnosis and management of omental infarction in children. In this brief review, we focus on the main ultrasound findings and their diagnostic clue for omental infarction and its mimics.
儿童急性腹痛是急诊科最常见的就诊原因。网膜梗死是该年龄段儿童急性腹痛的罕见原因，约占儿童急性阑尾炎的 15%，占同年龄段疑似阑尾炎手术的 0.024-0.1%。其临床表现可能类似于急性阑尾炎、阑尾周围炎和肠系膜脂膜炎等类似疾病。超声是儿科患者急性腹痛初始评估的首选方法，在儿童网膜梗死的诊断和治疗中可放心使用。在本篇简短的综述中，我们重点介绍了网膜梗死及其类似疾病的主要超声表现和诊断线索。
