Completely isolated enteric duplication cysts are a rare variety of enteric duplication cysts having an independent blood supply with no communication with any part of the adjacent bowel segment. We report a case showing two completely isolated enteric duplication cysts originating in the greater omentum and transverse mesocolon in an infant. Multiple isolated enteric duplication cysts involving non-contiguous bowel segments have not been previously reported in the literature. In addition the transverse mesocolon duplication cyst was infected showing septations and loss of double wall sign resulting in difficulty in imaging diagnosis. Both the cysts were excised and confirmed on histopathology.
Primary malignant peripheral nerve sheath tumour (MPNST) is an uncommon malignant tumour that arises from the peripheral nerves. Most of these tumours arise in the regions of the trunk, head and neck, or extremities and are rarely seen in the abdomen. In this report, we describe a case of MPNST of the greater omentum, which, to the best of our knowledge, is only the second case reported in the literature. MPNST is an uncommon tumour that can show local invasion and has a high risk of recurrence. We also discuss the utility of “omental vascular pedicle sign” to help establish the omental origin of intra-abdominal masses.
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