A giant omental cyst mimicking ascites in a three-year-old Congolese child

Abstract

International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. Case Report: A three-year-old boy with fever, under nutrition and abdominal distension previously diagnosed as ascites was submitted to laparotomy. We founded a large multi lobed cyst from the large omentum filling almost the entire abdominal cavity and containing sero-hemorrhagic to very dark liquid. The histopathologic examination showed a cystic formation lined by cubic mesothelium cells, with abundant inflammatory infiltrate rich in lymphocytes and histiocytes, mixed with a few giant cells of foreign body of melanotic origin. IJCRI publishes Review Conclusion:The diagnostic role of sonography in abdominal distension of unknown etiology is emphasized.

Toddler with giant omental cyst, profound anemia, and shock: case report and review of the literature

“…Most authors agree with complete excision of the cyst without omentectomy or partial omentectomy to prevent the potential risk of complications due to the cyst ( 48 ). In selected cases, several approaches, including traditional open surgery ( n = 45, 66.2%) ( 11 , 22 , 32 ), laparoscopic surgery ( n = 22, 32.4%) ( 16 , 18 , 32 , 39 ), and transumbilical minilaparotomy ( 30 ), have been described for the treatment of omental cysts. When technically available, laparoscopic surgery is usually preferred because of its minimal invasiveness, reduced blood loss and postoperative ileus, less postoperative pain, shorter hospitalization, and faster return to normal activity ( 8 , 9 , 15 , 49 ).…”