An omental cyst is a very rare pathology, especially in small infants. Children generally present with abdominal distention with or without a palpable mass. The mass may be huge, simulating ascites. The most common presentation in children is that of a small-bowel obstruction. The differential diagnosis includes intestinal duplication cyst, ovarian, choledochal, pancreatic, splenic, or renal cysts, hydronephrosis, cystic teratoma, hydatid cyst, and ascites. We describe the clinical presentation, imaging features, surgical treatment, and postoperative course of a 21-month-old female infant with a congenital giant omental cyst. This entity is extremely rare but should be included in the differential diagnosis in similar cases.

Artifacts are encountered routinely in clinical ultrasonography practice. The ability to recognize and eliminate potentially correctable ultrasound artifacts is of great importance to image quality improvement and optimal patient care. We describe an example of a superior mesenteric artery-related pseudomass as a form of reverberation artifact that could lead to misinterpretation of sonographic findings. We present the ultrasonographic and computed tomography angiography findings and give an explanation for the appearance of the artifact.