Giant primary omental cyst mimicking a pseudoascites

Primary omental cysts are rare intra-abdominal pathology, which are difficult to diagnose preoperatively; as such a high index of suspicion is required for accurate preoperative diagnosis. We present a case of primary omental cyst in an eight-year-old girl who presented with huge abdominal distensio...

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Bibliographic Details
Published in:African journal of paediatric surgery 2009-01, Vol.6 (1), p.58-60
Main Authors: Shafi, Sheikh Muzamil, Malla, Misbha Afsheen, Reshi, Farooq Ahmad
Format: Article
Language:English
Subjects:
Ascites - diagnosis
Ascites - surgery
Child
Cysts
Cysts - surgery
Diagnosis, Differential
Female
Humans
Medical diagnosis
Medical imaging
Omental cyst
Omentum
Omentum - surgery
Peritoneal Diseases - diagnosis
Peritoneal Diseases - surgery
pseudoascites
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Summary:Primary omental cysts are rare intra-abdominal pathology, which are difficult to diagnose preoperatively; as such a high index of suspicion is required for accurate preoperative diagnosis. We present a case of primary omental cyst in an eight-year-old girl who presented with huge abdominal distension mimicking ascites. She was operated and cyst was extirpated completely. Histological examination revealed an omental cyst with endothelial lining and haemorrhagic fluid inside. Patient was followed up for a period of one year and had no post operative complication or recurrence of the disease. This case is reported to emphasise the inclusion of huge omental cyst in the differential diagnosis of ascites especially in the paediatric age group.
ISSN:0189-6725
0974-5998
DOI:10.4103/0189-6725.48581