Unusual cause of acute abdomen-omental infarction occurring in a child with cyclical neutropenia

Nicholas Ventham, Vamsi Velchuru, Earl Scout, John Studley

Research output: Contribution to journalArticlepeer-review

Abstract

Omental infarction is a rare cause of acute abdomen in childhood. We describe a case of omental infarction mimicking acute appendicitis occurring in a child with cyclical neutropenia. Neutropenic enterocolitis, a serious cause of the acute abdomen, has been linked with cyclical neutropenia. In neutropenic patients, omental infarction when diagnosed pre-operatively can be managed conservatively with the focus on improving the neutrophil count. If after imaging the diagnosis is in doubt, there should be a low threshold for laparoscopy. The low incidence of omental infarction will continue to mean that it is a diagnosis made at operation for suspected appendicitis. In these cases, the infarcted tissue may be removed by the laparoscopic or open technique.

Original languageEnglish
Pages (from-to)W32-W34
JournalAnnals of The Royal College of Surgeons of England
Volume92
Issue number2
DOIs
Publication statusPublished - 1 Mar 2010

Keywords

  • Acute abdomen
  • Appendicitis
  • Neutropenia
  • Omental infarction

Fingerprint Dive into the research topics of 'Unusual cause of acute abdomen-omental infarction occurring in a child with cyclical neutropenia'. Together they form a unique fingerprint.

Cite this