Torsion of a giant omental cyst mimicking ascites

Fítöz, Suat; Atasoy, Çetin; Ekı̇m, Mesı̇ha; Yildiz, Seçil; Erden, Ayşe; Aktuğ, Tanju

doi:10.1002/jcu.20248

Cited by 10 publications

(8 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The presentation may vary from asymptomatic or vague complaints as in our case[3] to acute abdominal conditions due to complications like torsion. [4]…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic excision of a giant mesothelial omental cyst

Deshpande

Dalvi

2012

J Min Access Surg

View full text Add to dashboard Cite

A 42-year-old patient presented with right-sided abdominal discomfort. Investigations revealed a 19 × 21 centimetres large cystic lesion occupying nearly the entire right side of the abdomen. It was situated between ascending colon and right kidney and extended from the liver to the pelvic inlet supero-inferiorly. Laparoscopic excision was planned. The cyst was aspirated completely and dissected from the surrounding structures. It was eventually found to be arising from the right free edge of the greater omentum. Due to its size and weight it was lodged behind the ascending colon. Post-operative course was uneventful. Histology revealed a mesothelial omental cyst. Omental cysts are rare abdominal tumours. Complete excision is the treatment advised to prevent recurrence. Laparoscopic excision can be safely performed taking care to ascertain diagnosis and not to damage any structures intra-operatively.

show abstract

“…The presentation may vary from asymptomatic or vague complaints as in our case[3] to acute abdominal conditions due to complications like torsion. [4]…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic excision of a giant mesothelial omental cyst

Deshpande

Dalvi

2012

J Min Access Surg

View full text Add to dashboard Cite

show abstract

“…Complications include torsion, infarction, volvulus formation [2, 10, 11] similar to what was observed in our third case report. Other complications were also reported like perforation, infection, anemia from intracystic bleeding, and rupture which is a rare condition usually occuring following an abdominal trauma [4, 12-14]. Cystic abdominal masses are easily evaluated radiologically by ultrasonography, CT scan and MRI [2, 15].…”

Section: Discussionmentioning

confidence: 99%

Mesenteric cyst in infancy: presentation and management

Belhassen¹,

Braiki²,

Laamiri³

et al. 2017

Pan Afr Med J

View full text Add to dashboard Cite

Mesenteric cysts are documented as a rare entity in pediatric population. They are considered as benign intra-abdominal tumors with an unknown etiology. Symptoms are not specific and knowledge of such condition is essential in order to establish a proper management. We report three pediatrics cases of mesenteric cysts managed between 2000 and 2009 in the pediatric surgery Department of Monastir College Hospital. We described the clinical, radiological and operative findings. Two males and a female were managed (age range: 10 days-5years, mean age: 6,3years). Two patients were presented with an intestinal obstruction. A preoperative diagnosis was made basing on imaging. Thus, abdominal ultrasonography was performed in all of our reported cases and showed a cystic mass in all cases. The cystic nature of the mass, its margins and its extension were better described on tomographic images. The mesenteric cyst was completely and successfully removed in all cases. The histopathological report confirmed the diagnosis and showed a multiloculated cyst with columnar mesothelial lining, without any defined muscular layer or cellular atypia and without any evidence of malignancy. The children were evaluated post-operatively with a mean follow-up of 2 years and a half. No recurrence was noted in our patients during the follow-up period. It is known that clinical features are not specific of such anomaly but once the diagnosis is made, the complete surgical removal of the cyst remains the treatment of choice with excellent outcomes.

show abstract

“…tion [4][5][6], In diagnosis of mesenteric cysts, ultrasonography is the first-line diagnostic method [7]. Other image modalities including plain abdominal radiographs, gastrointestinal study using barium, CT, and magnetic resonance imaging (MRI) could be used in selected patients.…”

Section: Discussionmentioning

confidence: 99%

A case of mesenteric cyst confused with ovarian endometrioma

Lee

Jee

2012

Korean J Obstet Gynecol

View full text Add to dashboard Cite

Mesenteric cysts are usually not considered in the differential diagnosis of pelvic cystic masses. The more common considerations for pelvic cystic masses include ovarian cysts such as, endometrioma, dermoid cyst, and other neoplasm. Here we report a case of 15-year-old girl with pelvic cystic mass; it was initially thought to be ovarian endometrioma, but the operative and histologic findings revealed a mesenteric cyst.Keywords: Mesenteric cyst; Ovarian cyst; Pelvic; Endometrioma Received: 2012.5.25. Revised: 2012.7.10. Accepted: 2012.10. Corresponding author: Byung Chul Jee, MD, PhD Department of Obstetrics and Gynecology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, 300 Gumi-ro, This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2012. Korean Society of Obstetrics and GynecologyMesenteric cysts are rare disease and usually not considered in the differential diagnosis of pelvic cystic masses. Since most mesenteric cysts are usually asymptomatic, they tend to be diagnosed incidentally during imaging tests or surgery [1]. In order to exclude malignant transformation and prevent further complications, large mesenteric cysts are recommended to be removed. Complete surgical resection is the treatment of choice with the excellent longterm prognosis [2]. Here we report a case of incidental mesenteric cyst, which was confused with ovarian endometrioma in preoperative assessment. Case ReportA 15-year-old girl presented with history of irregular menstruation and an incidental pelvic cystic mass. The patient did not complain of dysmenorrhea, and denied sexual activity. The past medical history was unremarkable. Laboratory tests including complete blood cell count and renal and liver function tests were all normal, except slightly increased alanine aminotransferase (ALT) (68 IU/L). The level of CA-125, CA-19-9, and carcinoembryonic antigen were 20.6 IU/mL, 0.6 IU/mL, and 1.9 ng/mL, respectively (all were within normal range). In computed tomographic scan (CT), the cystic mass was 10.5 × 7.9 × 7.6 cm sized, unilocular shaped, and had relatively thick and prominent wall. It was supposed that the cyst doesn't contain fat component or calcified materials. The origin of cystic mass was supposed to be her right ovary (Fig. 1). In addition, considering its homogeneously hypoechoic cyst fluid and thick wall in ultrasonogram (Fig. 2), the cystic mass was thought to be right ovarian endometrioma. Based on the clinical impression of an ovarian endometrioma, laparoscopic approach was planned to perform right ovarian cystectomy. During the operation, it was confirmed that the origin of the cystic mass was not ovary, but mesentery (Fig. 3A). Both ovaries were intact (Fig. 3B). To define and make delicate resection, surgical appr...

show abstract

Torsion of a giant omental cyst mimicking ascites

Cited by 10 publications

References 8 publications

Laparoscopic excision of a giant mesothelial omental cyst

Laparoscopic excision of a giant mesothelial omental cyst

Mesenteric cyst in infancy: presentation and management

A case of mesenteric cyst confused with ovarian endometrioma

Contact Info

Product

Resources

About