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

Abstract

Omental cysts (OC) are rare abdominal pathology which are difficult to diagnose preoperatively. The most common presenting symptoms are abdominal distension and abdominal pain. We present a case of OC in a 3-year-old girl who presented with acute abdominal symptoms. The cyst was totally excised and histological examination revealed an OC with endothelial lining and serous fluid inside. A patient with OC in this report is presented and discussed with regard to the foregoing literature.

Omental Cyst Presenting as an Acute Abdomen in a Pediatric Patient: A Case Report

“…The cysts can either be unilocular or multilocular and they may contain hemorrhagic, serous, chylous, or infected fluid. [7][8][9] In our patient, it was huge, (most possibly the largest from the omentum so far), unilocular, and containing thin hemorrhagic fluid.…”

“…Complications of the cyst include hemorrhage, torsion, infection, rupture, and symptoms related to pressure effects of the cystic mass on the adjacent structures. 8 The child in the presented case had a large cyst with hemorrhagic content, resected without rupture, and he had no complications in the first 3 months of follow-up. But long-term complications like recurrence of the cyst needs additional follow-up.…”