FATTY-LIGAMENT APPENDAGE TORSION: A HARMLESS CAUSE OF UPPER ABDOMINAL PAIN IN CHILDREN

A previously healthy ten-year-old boy presented to the emergency department with two days of persistent and severe epigastric abdominal pain with anorexia and mild constipation, but no nausea or vomiting . No fever, pyrosis, respiratory difficulty or urinary or genital complaints were present. The patient denied any history of abdominal trauma. On admission, he was mildly tachycardic (100bpm), normotensive (115/58mmHg), and afebrile (tympanic temperature 36.4ºC). Focal tenderness on the epigastrium and umbilical region was elicited on abdominal palpation; Blumberg, Rovsing, Markle, and vesicular Murphy signs were absent.

source https://www.jpeds.com/article/S0022-3476(22)00778-8/fulltext?rss=yes