Giant lymphatic cyst of omentum: a case report

Abstract

BackgroundOmental cysts are rare abdominal lesions and are difficult to diagnose. Mostly they are detected incidentally during imaging studies performed for unrelated reasons.Case presentationPresentation can be both acute and chronic. Acute presentations are usually due to complication in cyst. Imaging is helpful in excluding other causes of lump abdomen.We encountered a case of giant lymphatic cyst presenting with abdominal swelling, clinically mimicking huge ovarian cyst.ConclusionThe goal of surgical therapy is complete excision of the cyst, and Omental cysts can be removed without endangering the adjacent bowel.

Omental cysts mimickıng acute abdomen ın a 3-year-old girl

“…They are assumed to represent benign proliferation of ectopic lymphatics that lack communication with the normal lymphatic system [3]. Since the first description of an OC in 1852 by Gairdner, this entity has been reported very scarcely [4][5][6].…”

Giant Pediatric Omental Cyst: A Case Report and Review of Literature

“…The CECT abdomen shows definite origin of cyst and relation to surrounding structure especially intestine. It differentiates other cyst arising from ovary, kidney or pancreas [9]. The complete surgical excision is treatment of choice.…”

Ascites with no fluid in Morison’s pouch?

“…An omental cyst may include abnormal contents, which may be bloody, serous, or chylous [4]. They may be simple or multiple, unilocular or multilocular [5].…”

“…The only atypical finding for ascites was absence of free fluid in perihepatic region, i.e., in Morison's pouch. If verified to be a cyst, abdominal computed tomography usually adds a little additional information, allowing exclusion of kidney, ovary or pancreas as the originating organs [5].…”

“…The clinical presentation depends upon size of the cyst [4], which can be asymptomatic and discovered accidentally during abdominal ultrasound or laparotomy for another condition, or as manifested by acute abdomen [5].…”