Owedah Rahaf J, Alshehri Omar A, Alfneekh Nourah I, Alasmari Aishah H, Hafiz Dina W, Alburayh Yasamiyan A, Alabdullah Mohammed A, Altarteer Abdullah A, Alharbi Muhannad F, Almutairi Maram F, Aljohani Shahad S, Boudal Ibtsam S, Alshammari Malak A
Medicine, Al-Rayan Colleges, Medina, SAU.
Vascular Surgery, Asir Central Hospital, Abha, SAU.
Cureus. 2021 Sep 17;13(9):e18053. doi: 10.7759/cureus.18053. eCollection 2021 Sep.
Acute abdominal pain is a common cause of visits to the emergency department. Acute appendicitis remains the most common indication for abdominal surgical intervention in the pediatric age group. However, several conditions may present with a clinical picture similar to that of acute appendicitis. We report the case of a 7-year-old girl with a history of right lower quadrant abdominal pain of two days in duration. The pain was associated with vomiting and was exacerbated by movement. Abdominal examination revealed a localized tenderness in the right iliac fossa with guarding, giving the impression of acute appendicitis. After a thorough investigation, the patient was diagnosed as having acute omental infarction given the radiological findings seen in the computed tomography scan. The patient was successfully managed conservatively with analgesics and anti-inflammatory drugs. Physicians should keep a high index of suspicion for this condition when encountering a patient presenting with an acute right lower quadrant abdominal pain. Imaging modalities play a pivotal role in making the diagnosis.
急性腹痛是急诊就诊的常见原因。急性阑尾炎仍然是小儿年龄段腹部外科手术干预最常见的指征。然而，有几种病症可能呈现出与急性阑尾炎相似的临床表现。我们报告一例7岁女孩病例，其右下腹痛病史持续两天。疼痛伴有呕吐，活动时加重。腹部检查发现右髂窝局限性压痛并伴有肌紧张，给人以急性阑尾炎的印象。经过全面检查，根据计算机断层扫描的影像学表现，该患者被诊断为急性大网膜梗死。患者通过使用镇痛药和抗炎药成功进行了保守治疗。医生在遇到表现为急性右下腹痛的患者时，应高度怀疑这种病症。影像学检查在做出诊断方面起着关键作用。
