Omental infarction from a blunt trauma in a child - should w
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Omental Infarction (OI) is a rare cause of acute abdomen in children and often misdiagnosed as acute appendicitis due to itssimilar clinical presentation.Omental infarction is caused by rotation of the greater omentum on its long axis which may lead to tissue ischemia/infarction and necrosis. Of the 400 reported cases of OI, only 50 involved paediatric patients, with the majority presenting as right lower quadrant abdominal pain.A 5-year-old boy presented to his General Practitioner with a one-day history of right lower abdominal pain after a fall at school. The boy was unable to give a history of the mechanism of the fall. He denied any history of fever, nausea or vomiting. A USS and a CT abdomen were arranged by the child’s GP which revealed an omental infarction. He was transferred to the hospital for further management. The patients’ blood test showed white cell count of 9.2 x 109 per liter and C-reactive protein of 24 units. The patient was managed conservatively and discharged home next day...

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