Original Article

Large Omental Cyst: A Case Report and Review of the Literature

Abstract

Omental cysts occur rarely. Patients with Omental cysts usually present with abdominal distention and a painless abdominal mass. In children it may present as an acute abdomen due to intestinal obstruction. The most common physical finding of an omental cyst is a freely movable abdominal mass, which should be considered in differential diagnosis of these cases. The diagnostic procedures include ultrasonography and computed tomography (CT) scans. Complete excision of the cyst is considered as the treatment of choice. Recurrence and malignant deterioration of omental cysts are rare. We describe a 32- year-old female who presented with complaints of vague abdominal pain and distension. The patient underwent laparotomy with preoperative diagnosis of the ovarian cyst. The diagnosis of omental cyst was established by intraoperative findings. Thus, complete excision of the cyst was performed. The diagnosis was confirmed by pathological examination.

Tan JJ, Tan KK, Chew SP. Mesenteric cysts: an institution experience over 14 years and review of literature. World J Surg 2009;33(9):1961-5.

Egozi EI, Ricketts RR. Mesenteric and omental cysts in children. Am Surg 1997;63(3):287-90.

Moralioğlu S, Sönmez K, Türkyilmaz Z, Başaklar AC, Kale N. A child with a giant omental cyst. Acta Chir Belg 2007;107(6):724-5.

Vanek VW, Phillips AK. Retroperitoneal, mesenteric, and omental cysts. Arch Surg 1984;119(7):838-42.

Uramatsu M, Saida Y, Nagao J, Takase M, Sai K, Okumura C, Nakamura Y, Nakamura Y, Kusachi S, Kajiwara H, Asai K, Sumiyama Y, Takahashi K. Omental cyst: report of a case. Surg Today 2001;31(12):1104-6.

Kurtz RJ, Heimann TM, Holt J, Beck AR. Mesenteric and retroperitoneal cysts. Ann Surg 1986;203(1):109-12.

Kumar S, Agrawal N, Khanna R, Khanna AK. Giant lymphatic cyst of omentum: a case report. Cases J 2009;2:23.

Hebra A, Brown MF, McGeehin KM, Ross AJ 3rd. Mesenteric, omental, and retroperitoneal cysts in children: a clinical study of 22 cases. South Med J 1993;86(2):173-6.

Conzo G, Vacca R, Grazia Esposito M, Brancaccio U, Celsi S, Livrea A. Laparoscopic treatment of an omental cyst: a case report and review of the literature. Surg Laparosc Endosc Percutan Tech 2005;15(1):33-5.

Kuriansky J, Bar-Dayan A, Shabtai M, Barshach I, Rosin D, Ayalon A. Laparoscopic resection of huge omental cyst. J Laparoendosc Adv Surg Tech A 2000;10(5):283-5.

Kosir MA, Sonnino RE, Gauderer MW. Pediatric abdominal lymphangiomas: a plea for early recognition. J Pediatr Surg 1991;26(11):1309-13.

Mohanty SK, Bal RK, Maudar KK. Mesenteric cyst: an unusual presentation. J Pediatr Surg 1998;33(5):792-3.

Nett MH, Vo NJ, Chapman T. Large omental cyst. RadiolCase Rep (RCR) 2010;5(2):388.

Shackelford GD, McAlister WH. Cysts of the omentum. Pediatr Radiol 1975;3(3):152-5.

Rahman GA, Abdulkadir AY, Olatoke SA, Uwaezuoke S, Yusuf IF, Braimoh KT. Giant neoplastic omental cyst masquerading as ascites: a case report. Cases J 2009;2:6482.

Horiuchi T, Shimomatsuya T. Laparoscopic excision of an omental cyst. J Laparoendosc Adv Surg Tech A 1999;9(5):411-3.

Conlon KC, Dougherty EC, Klimstra DS. Laparoscopic resection of a giant omental cyst. Surg Endosc 1995;9(10):1130-2.

Files
IssueVol 49, No 10 (2011) QRcode
SectionOriginal Article(s)
Keywords
Omentum Mesenteric cyst Abdominal mass

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Motie MR, Asadi M. Large Omental Cyst: A Case Report and Review of the Literature. Acta Med Iran. 1;49(10):690-693.