Magnetic resonance imaging of epiploic appendagitis in children

Alessandro Boscarelli; Simone Frediani; Silvia Ceccanti; Ilaria Falconi; Gabriele Masselli; Emanuele Casciani; Denis A Cozzi

doi:10.1016/j.jpedsurg.2016.09.052

Magnetic resonance imaging of epiploic appendagitis in children

J Pediatr Surg. 2016 Dec;51(12):2123-2125. doi: 10.1016/j.jpedsurg.2016.09.052. Epub 2016 Sep 20.

Authors

Alessandro Boscarelli¹, Simone Frediani¹, Silvia Ceccanti¹, Ilaria Falconi¹, Gabriele Masselli², Emanuele Casciani², Denis A Cozzi³

Affiliations

¹ Paediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, RM 00161, Italy.
² Department of Emergency Radiology, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, RM 00161, Italy.
³ Paediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, RM 00161, Italy. Electronic address: da.cozzi@uniroma1.it.

PMID: 27712889
DOI: 10.1016/j.jpedsurg.2016.09.052

Abstract

In children, epiploic appendagitis has been seldom reported. We describe two children with clinical presentations mimicking appendicitis. A correct diagnosis was eventually achieved by magnetic resonance imaging (MRI) and confirmed at laparoscopy in the initial case. Our preliminary experience suggests that MRI is a valid and non-invasive alternative to computed tomography for characterization of unusual causes of pediatric abdominal pain in the acute hospital care setting.

Keywords: Abdominal pain; Children; Epiploic appendages; Epiploic appendagitis; Magnetic resonance imaging.

MeSH terms

Abdominal Pain / diagnosis*
Abdominal Pain / etiology
Appendectomy / methods
Appendicitis / complications
Appendicitis / diagnosis*
Appendicitis / surgery
Child
Child, Preschool
Diagnosis, Differential
Humans
Laparoscopy / methods
Magnetic Resonance Imaging / methods*
Male
Tomography, X-Ray Computed