Giant Omental Hemorrhagic Cyst Presenting as Acute Hemorrhagic Anemia in a 21-Month-Old Infant

Abstract

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.

Epiploic Cystic Lymphangioma Rupture as a Result of Acute Abdomen in a 4-year-old Patient. Case Report

“…It may be single, multiple, unilocular, or multilocular, from a few centimeters to 40 cm in diameter. 2 In general, located in the subcutaneous tissue in the head, neck, or armpits and can, rarely, be intrabdominal (2-5%). 3 It is more common in male pediatric patients, with a reported incidence of approximately 1 in 140,000 patients 2 .…”

“…2 In general, located in the subcutaneous tissue in the head, neck, or armpits and can, rarely, be intrabdominal (2-5%). 3 It is more common in male pediatric patients, with a reported incidence of approximately 1 in 140,000 patients 2 . Its pathophysiology originates from a malformation in lymph vessels, characterized by dilated cysts of lymphatic content, pus or blood as a result of bleeding 4 .…”

Omental Cyst – Rare Cause of Abdominal Pain in a 7-Year-Old Child: A Case Report

“…Ultrasonogram has been reported as the initial tool in all cases. Computerized tomography (CT) and magnetic resonance imaging (MRI) may provide additional information about the extension and interior properties of the lesion [4, 11]. Our patient underwent Ultrasonogram and CT scanning leading to the diagnosis of a mesenteric cyst.…”

Think beyond ascites

“…3,9 Diagnosis of a cyst is one of exclusion, should be considered even if the findings are non-specific and the patient exhibits symptoms over a long period of time without having any affection on other systemic functions. 10 Often children may present with silent distension of abdomen with free fluid. On ascitic fluid evaluation, the SAAG (serum ascites albumin gradient) <1.1 is suggestive of transudative ascites, which may be associated with tuberculous, pancreatic, peritoneal malignancy or serositis, in presence of Serum albumin >2.5 mg/dl.…”