Infarction of an epiploic appendage in a pediatric patient

Jason D Fraser, Pablo Aguayo, Charles M Leys, Shawn D St Peter, Daniel J Ostlie
Journal of Pediatric Surgery 2009, 44 (8): 1659-61
Epiploic appendagitis or infarction of an epiploic appendage is an uncommon cause of abdominal pain in pediatric patients. Few cases have been reported. Diagnosis based on clinical examination alone is nearly impossible, and therefore, adjunctive radiographic measures are necessary to aid in the diagnosis, including ultrasound and computed tomography. We present the case of an 8-year-old boy whose diagnosis of epiploic infarction was suggested by computed tomography and was confirmed and treated via laparoscopy.

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