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Omental Infarction in Pediatric Patients: Sonographic and CT Findings

J. Damien Grattan-Smith1, David E. Blews1 and Theodore Brand2

1 Department of Radiology, Children's Healthcare of Atlanta at Scottish Rite, 1001 Johnson Ferry Rd., Atlanta, GA 30342.
2 Department of Surgery, Children's Healthcare of Atlanta at Scottish Rite, Atlanta, GA 30342.



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  		Fig. 1A. —8-year-old boy with right lower quadrant pain and tenderness. Sonogram obtained over point of maximal tenderness using 7-MHz linear transducer shows poorly defined hyperechoic mass immediately below anterior abdominal wall.

 


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  		Fig. 1B. —8-year-old boy with right lower quadrant pain and tenderness. Axial CT scan performed immediately after A shows heterogeneous, predominately low-attenuation mass (arrows) just beneath anterior abdominal wall. Mass, which is anterior to transverse colon, is triangular.

 


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  		Fig. 2. —7-year-old boy with right-sided abdominal pain. Axial CT scan through right lower quadrant shows large triangular mass (arrows) between ascending colon and anterior abdominal wall. Mass is predominantly fatty, interspersed with higher attenuating linear densities. Inflammatory changes can be seen in adjacent colon. CT appearance is characteristic for omental infarction.

 

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