{"id":"https://openalex.org/W4387750792","doi":"https://doi.org/10.14309/01.ajg.0000962128.32322.bd","title":"S3122 Spontaneous Omental Bleed Causing Acute Abdomen in Child: A Case Report and Review of Literature","display_name":"S3122 Spontaneous Omental Bleed Causing Acute Abdomen in Child: A Case Report and Review of Literature","publication_year":2023,"publication_date":"2023-10-01","ids":{"openalex":"https://openalex.org/W4387750792","doi":"https://doi.org/10.14309/01.ajg.0000962128.32322.bd"},"language":"en","primary_location":{"id":"doi:10.14309/01.ajg.0000962128.32322.bd","doi":"https://doi.org/10.14309/01.ajg.0000962128.32322.bd","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0000962128.32322.bd","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"},"volume":null,"type":"conference-abstract","is_traditional":false,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5113026633","display_name":"Chelsie N. Walters","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Chelsie N. Walters","raw_affiliation_strings":["Presenter"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Presenter","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5111059373","display_name":"Ahsan Naqvi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210159167","display_name":"Prince Charles Hospital","ror":"https://ror.org/05efbh861","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210159167"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Ahsan Naqvi","raw_affiliation_strings":["Prince Charles Hospital, Merthyr Tyfdil, Wales, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Prince Charles Hospital, Merthyr Tyfdil, Wales, United Kingdom","institution_ids":["https://openalex.org/I4210159167"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5003632280","display_name":"Shafiq Chughtai","orcid":"https://orcid.org/0009-0002-6481-0689","observed_orcids":["https://orcid.org/0009-0002-6481-0689"]},"institutions":[{"id":"https://openalex.org/I4210159167","display_name":"Prince Charles Hospital","ror":"https://ror.org/05efbh861","country_code":"GB","type":"healthcare","lineage":["https://openalex.org/I4210159167"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Shafiq Ahmad Chughtai","raw_affiliation_strings":["Prince Charles Hospital, Merthyr Tyfdil, Wales, United Kingdom"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Prince Charles Hospital, Merthyr Tyfdil, Wales, United Kingdom","institution_ids":["https://openalex.org/I4210159167"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5113026633"],"corresponding_institution_ids":[],"apc_list":{"value":4390,"currency":"USD","value_usd":4390},"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":"118","issue":"10S","first_page":"S2090","last_page":"S2090"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T13962","display_name":"Omental and Epiploic Conditions","score":0.9854000210762024,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T13962","display_name":"Omental and Epiploic Conditions","score":0.9854000210762024,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11473","display_name":"Appendicitis Diagnosis and Management","score":0.013100000098347664,"subfield":{"id":"https://openalex.org/subfields/2711","display_name":"Emergency Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11855","display_name":"Gastrointestinal disorders and treatments","score":0.000699999975040555,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-abdomen","display_name":"acute abdomen","score":0.9409999847412109},{"id":"https://openalex.org/keywords/right-iliac-fossa-pain","display_name":"right iliac fossa pain","score":0.9589999914169312},{"id":"https://openalex.org/keywords/diagnostic-laparoscopy","display_name":"diagnostic laparoscopy","score":0.8529999852180481},{"id":"https://openalex.org/keywords/appendectomy","display_name":"appendectomy","score":0.46299999952316284},{"id":"https://openalex.org/keywords/differential-diagnosis-of-appendicitis","display_name":"differential diagnosis of appendicitis","score":0.6449999809265137},{"id":"https://openalex.org/keywords/c-reactive-protein","display_name":"C-reactive protein","score":0.6489999890327454},{"id":"https://openalex.org/keywords/pediatric-radiation-exposure","display_name":"pediatric radiation exposure","score":0.5460000038146973},{"id":"https://openalex.org/keywords/omental-fat","display_name":"omental fat","score":0.3840000033378601}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.972287654876709},{"id":"https://openalex.org/C2779223914","wikidata":"https://www.wikidata.org/wiki/Q5997960","display_name":"Iliac fossa","level":2,"score":0.9087137579917908},{"id":"https://openalex.org/C2776364125","wikidata":"https://www.wikidata.org/wiki/Q9656","display_name":"Appendix","level":2,"score":0.8462501764297485},{"id":"https://openalex.org/C2779983558","wikidata":"https://www.wikidata.org/wiki/Q9597","display_name":"Abdomen","level":2,"score":0.7004547715187073},{"id":"https://openalex.org/C2780016130","wikidata":"https://www.wikidata.org/wiki/Q121041","display_name":"Appendicitis","level":2,"score":0.5909901261329651},{"id":"https://openalex.org/C2778357063","wikidata":"https://www.wikidata.org/wiki/Q713102","display_name":"Pelvis","level":2,"score":0.5792518854141235},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.5251849889755249},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.4861009120941162},{"id":"https://openalex.org/C2778722699","wikidata":"https://www.wikidata.org/wiki/Q655501","display_name":"Greater omentum","level":2,"score":0.46958035230636597},{"id":"https://openalex.org/C2780047204","wikidata":"https://www.wikidata.org/wiki/Q675754","display_name":"Laparoscopy","level":2,"score":0.4466813802719116},{"id":"https://openalex.org/C527108885","wikidata":"https://www.wikidata.org/wiki/Q835153","display_name":"Physical examination","level":2,"score":0.4393869638442993},{"id":"https://openalex.org/C143753070","wikidata":"https://www.wikidata.org/wiki/Q162564","display_name":"Ultrasound","level":2,"score":0.42738109827041626},{"id":"https://openalex.org/C2780955771","wikidata":"https://www.wikidata.org/wiki/Q183425","display_name":"Abdominal pain","level":2,"score":0.4228958487510681},{"id":"https://openalex.org/C151730666","wikidata":"https://www.wikidata.org/wiki/Q7205","display_name":"Paleontology","level":1,"score":0.0},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.0}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.14309/01.ajg.0000962128.32322.bd","doi":"https://doi.org/10.14309/01.ajg.0000962128.32322.bd","is_oa":false,"landing_page_url":"https://doi.org/10.14309/01.ajg.0000962128.32322.bd","pdf_url":null,"source":{"id":"https://openalex.org/S66441642","display_name":"The American Journal of Gastroenterology","issn_l":"0002-9270","issn":["0002-9270","1572-0241"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-b","doyens","jufo-2","ki-jl-2","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"American Journal of Gastroenterology","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2624584370","https://openalex.org/W4312700171","https://openalex.org/W3205712127","https://openalex.org/W2047316870","https://openalex.org/W4388952051","https://openalex.org/W2038841751","https://openalex.org/W2060960891","https://openalex.org/W2003435943","https://openalex.org/W7223445576","https://openalex.org/W4416344557"],"abstract_inverted_index":{"Introduction:":[0],"A":[1,87,302,523,542],"common":[2,260,348],"condition":[3],"presenting":[4],"in":[5,35,60,116,143,150,163,191,329,349,352,375,401,434,562,653,692,721],"children":[6],"as":[7,24,298,339],"acute":[8,15,96,264,270,340],"right":[9,105,117,164,194,441,520,530,581,599,723],"sided":[10,507],"lower":[11,106,571,635,724],"abdominal":[12,100,341,450,469,508,540,556,607,636,662,686,702,732,742,756],"pain":[13,254,367,430,451,470,487,509,522,541,573,608,627,663,671,687,717,757],"is":[14,33,74,79,255,293,296,327],"appendicitis.":[16],"Acute":[17,701,730,740,755],"appendicitis":[18,174,271,374],"can":[19,26,361],"be":[20,27,185,346,362],"a":[21,76,92,110,363,707,746],"diagnostic":[22,47,77],"challenge,":[23],"presentation":[25],"diverse":[28],"and":[29,52,113,125,139,193,220,244,368,382,390,471,488,499,519,639,672,688,758],"misleading.":[30],"Clinical":[31],"judgement":[32],"fundamental":[34],"the":[36,44,83,104,231,258,263,291,371,376,435,440,454,460,477,529,563,577,580,598,613,617,645,654,693,722],"diagnosis":[37],"with":[38,56,91,160,211,225,238],"some":[39],"support":[40],"from":[41,453,459,546,592,597,677],"imaging.":[42],"However,":[43],"poor":[45],"negative":[46],"value":[48],"of":[49,95,168,241,257,281,304,316,323,335,365,373,396,407,415,418,476,579,616,650,745],"blood":[50,188,652],"tests":[51,65],"ultrasound":[53,135],"scans":[54],"along":[55],"radiation":[57],"exposure":[58],"involved":[59],"CT":[61],"scanning":[62],"make":[63],"these":[64],"sub":[66,496],"optimum":[67],"for":[68,145,308],"routine":[69],"use.":[70],"Often":[71],"when":[72,290],"suspicion":[73],"high,":[75],"laparoscopy":[78],"required":[80],"to":[81,103,184,262,345,439,706],"confirm":[82],"diagnosis.":[84],"Case":[85],"Description/Methods:":[86],"12-year-old":[88],"boy":[89],"presented":[90,338],"1-day":[93],"history":[94],"onset":[97],"vague":[98],"generalised":[99,731,741],"pain,":[101,557,637],"shifting":[102],"quadrant.":[107,725],"Examination":[108],"revealed":[109,235,312],"soft":[111],"abdomen":[112,169],"localised":[114,161],"tenderness":[115,590],"iliac":[118,165,195,251,517,715],"fossa.":[119,166],"His":[120,172],"bloods":[121],"showed":[122],"normal":[123],"haemoglobin":[124],"white":[126],"cell":[127],"count.":[128],"CRP":[129],"was":[130,137,141,148,157,170,177,182,189,206,215,218,223,247,432,491,526,549],"mildly":[131],"elevated,":[132],"12mg/L(1-5mg/L).":[133],"An":[134],"scan":[136],"requested":[138],"he":[140],"kept":[142],"hospital":[144],"observation.":[146],"Patient":[147],"reviewed":[149],"ward":[151],"round":[152],"after":[153],"24":[154,632],"hrs.":[155],"He":[156],"more":[158,347],"tender":[159],"guarding":[162],"Ultrasound":[167],"normal.":[171,248],"Padiatric":[173],"score":[175],"(PAS)":[176],"3.":[178],"During":[179],"laparoscopy,":[180],"appendix":[181,217],"found":[183,190,207,433,492],"normal,":[186],"however,":[187],"pelvis":[192,655],"fossa":[196,252,518,716],"(150-200":[197],"ml).":[198],"In":[199],"addition,":[200],"4":[201,203,480],"x":[202],"cm":[204],"mass":[205,214,561,575],"within":[208,528,612,644],"omentum":[209,478,533,582,619,719,762],"covered":[210],"clots.":[212],"This":[213,354],"excised,":[216],"removed":[219],"peritoneal":[221],"cavity":[222],"washed":[224],"saline.":[226],"The":[227],"patient":[228],"went":[229],"home":[230],"following":[232],"day.":[233],"Histopathology":[234],"omental":[236,282,300,318,325,336,359,455,547,564,594,679,748],"fat":[237],"extensive":[239],"areas":[240],"vascular":[242],"congestion":[243],"haemorrhage.":[245,301],"Appendix":[246],"Discussion:":[249],"Right":[250,516,570,587,624,634,714],"(RIF)":[253],"one":[256,321],"most":[259],"presentations":[261],"surgical":[265],"take.":[266],"Common":[267],"casues":[268],"mimicking":[269],"include,":[272],"mesenteric":[273],"adenitis,":[274],"urinary":[275],"tract":[276],"infection":[277],"or":[278,288],"gastroenteritis.":[279],"Causes":[280],"haemorrhage":[283,337,360,511,665,720],"includes":[284],"trauma,":[285],"aneurysm,":[286],"malignancy,":[287],"vasculitis:":[289],"cause":[292,364],"unknown":[294],"it":[295],"classified":[297],"idiopathic":[299,474],"search":[303],"Ovid":[305],"Medline":[306],"data":[307],"English":[309],"language":[310],"papers":[311],"only":[313],"19":[314,751],"cases":[315,334],"spontaneous":[317,324,358],"bleeding.":[319],"Only":[320],"case":[322,355,419],"bleed":[326],"reported":[328,333],"pedriatric":[330],"population.8":[331],"All":[332],"pain.":[342,703,733,743],"It":[343],"appears":[344],"males":[350],"than":[351],"females.":[353],"highlights":[356],"that":[357],"RIF":[366],"may":[369],"mimic":[370],"symptoms":[372],"pediatric":[377],"age":[378],"group":[379],"(Figure":[380],"1":[381,423],"Table":[383,403],"1).Figure":[384],"1.:":[385],"Diagnostic":[386],"Laproscopy.":[387],"Image":[388],"A,B":[389],"C":[391],"-":[392,405],"Intra":[393],"Op":[394],"View":[395],"Omental":[397,409,510,628,664,734],"Mass.":[398],"D)":[399],"Blood":[400],"Pelvis.":[402],"1.":[404],"Cases":[406],"Idiopathic":[408],"Haemorrhage,":[410],"Literature":[411],"Search":[412],"S/No":[413],"Year":[414],"publish":[416],"Age":[417],"Gender":[420],"Presentation":[421],"Findings":[422],"2016":[424,465,513],"29":[425],"Male":[426,447,467,483,505,515,537,554,569,586,605,659,669,713,739,754],"Left":[427,448,484,506,538,660],"upper":[428,449,485,531,539,588,625,661,695],"quadrant":[429,486,532,572,589,626,696],"Haematoma":[431,490,704],"greater":[436,618,646,678],"omentum,":[437,647],"adjacent":[438,705],"gastroepiploic":[442,462,600],"artery":[443,463,601,643,709,749],"2":[444],"2012":[445,631],"27":[446,553],"Haemorrhage":[452],"artery,":[456],"which":[457],"arose":[458],"left":[461,694,747],"3":[464],"20":[466,712],"Upper":[468],"syncope":[472,559,640,673,689],"Spontaneous":[473],"bleeding":[475,642],"majus":[479],"2017":[481],"35":[482],"vomiting":[489,638],"at":[493,576],"Morrison":[494],"pouch,":[495],"splenic":[497],"fossa,":[498],"lesser":[500],"sac.":[501],"5":[502],"2014":[503],"68":[504,738],"6":[512],"53":[514,622],"periumbilical":[521],"large":[524,610],"haematoma":[525,611,629,676,691,763],"noted":[527],"7":[534],"2018":[535],"58":[536,658],"massive":[543],"hemoperitoneum":[544],"originating":[545,596],"vessels":[548],"observed.":[550],"8":[551],"2005":[552],"Intermittent":[555],"nausea,":[558],"Haemorrhagic":[560,574],"bursa.":[565],"9":[566],"1991":[567],"16":[568,710],"edge":[578],"10":[583],"2022":[584,711,737],"56":[585],"Bleeding":[591],"an":[593],"branch":[595],"11":[602],"2010":[603],"55":[604],"Generalised":[606,685],"Revealed":[609],"two":[614,648],"leaves":[615],"12":[620],"2021":[621,752],"Female":[623,633,684,700,729],"13":[630],"Small":[641],"litres":[649],"fresh":[651],"14":[656],"2009":[657],"15":[666,681,697],"2020":[667,682,698],"60":[668],"Epigastric":[670],"Left-sided":[674],"intra-abdominal":[675],"artery.":[680],"37":[683],"Large":[690],"69":[699],"gastroduodenal":[708],"Greater":[718],"17":[726],"2015":[727],"54":[728],"haematoma.":[735],"18":[736],"Rupture":[744],"aneurysm":[750],"66":[753],"decreased":[759],"consciousness.":[760],"Grater":[761]},"counts_by_year":[],"updated_date":"2026-09-26T08:19:03.415552","created_date":"2023-10-19T00:00:00"}