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Omental cyst presenting as tubercular ascites
Neha Joshi1, Sangeeta Yadav, Bijender Singh
1Department of Paediatrics, Maulana Azad Medical College, New Delhi, India. joshineha_26@rediffmail.com
Journal of Infection in Developing Countries
|March 31, 2010
Summary
Giant cystic lymphangiomas can mimic ascites in children. Biochemical tests like adenosine deaminase (ADA) may not reliably distinguish these benign tumors from tubercular ascites, especially in resource-limited settings.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Oncology
Background:
- Cystic lymphangiomas are rare congenital benign tumors of vascular origin.
- They can occur in various anatomical locations, with large intra-abdominal cysts sometimes mimicking ascites.
Observation:
- A case is presented of a 1.5-year-old male child with a giant cystic lymphangioma of the greater omentum.
- The presentation mimicked tubercular ascites, a common condition in resource-poor nations.
Findings:
- Biochemical investigations, including ascitic adenosine deaminase (ADA), showed limitations in differentiating cystic lymphangioma from tubercular ascites.
- This highlights challenges in diagnosis where invasive procedures are economically burdensome.
Implications:
- Accurate differentiation is crucial for appropriate management of intra-abdominal masses in children.
- Rethinking diagnostic algorithms is necessary in resource-limited settings to avoid misdiagnosis and unnecessary treatment.
- Highlights the importance of considering rare differentials even when common diseases are prevalent.
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