title: Omental infarction: a reappraisal of conservative management in children.
abstract: BACKGROUND
  Accurate recognition of omental infarction has resulted in increasing supporters of non-operative approach. In order to assess the efficacy and safety of conservative management, we surveyed the cases of omental infarction treated at a single institution.
  
  
  METHODS
  Primary omental infarction treated between 2004 and 2011 were reviewed. Cases recognized by imaging studies were submitted to conservative treatment that consisted of intravenous analgesics and antibiotics. Demographics, clinical presentation, laboratory findings, imaging diagnosis and outcome were analyzed.
  
  
  RESULTS
  There were 9 cases of omental infarction. Eight patients (4 males; median age, 8.5 years) presented at initial course of disease; all had right-sided abdominal pain and a normal or lightly increased leukocyte count. Six cases, diagnosed by CT scan after US suspicion in four, were managed conservatively, recovered uneventfully, and were discharged after a median hospital stay of 3 days. Two patients were only recognized at surgery. An additional case presented with intestinal obstruction due to an internal hernia and was successfully resolved by laparoscopy.
  
  
  CONCLUSIONS
  Imaging techniques were diagnostic of omental infarction in the majority of cases, enabling a conservative approach to be adopted. Non-operative management was successful with no complications in all patients presenting at the initial course of disease. One patient presented with a harmful complication that required operative treatment.
  
  
  CONCLUSIONS
  In the absence of a standard approach for omental infarction, conservative management is an effective noninvasive alternative but it claims for active surveillance.
authors.affiliation: Serviço de Cirurgia Pediátrica. Centro Hospitalar S. João. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.
authors.forename: José
authors.initials: J
authors.lastname: Estevão-Costa
authors.affiliation: Serviço de Cirurgia Pediátrica. Centro Hospitalar S. João. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.
authors.forename: Ana Sofia
authors.initials: AS
authors.lastname: Alvarenga
authors.affiliation: Serviço de Cirurgia Pediátrica. Centro Hospitalar S. João. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.
authors.forename: Ana Catarina
authors.initials: AC
authors.lastname: Fragoso
authors.affiliation: Serviço de Cirurgia Pediátrica. Centro Hospitalar S. João. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.
authors.forename: Maria
authors.initials: M
authors.lastname: Garcia
authors.affiliation: Serviço de Cirurgia Pediátrica. Centro Hospitalar S. João. Faculdade de Medicina. Universidade do Porto. Porto. Portugal.
authors.forename: Miguel
authors.initials: M
authors.lastname: Campos
mesh_terms: D002648:Child; D005260:Female; D006801:Humans; D007238:Infarction / Q000628:therapy*; D008297:Male; D009852:Omentum / Q000098:blood supply*