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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
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Published on: February 28, 2025

Congenital omental cyst

Rakesh Kumar Gupta1, Suresh Sah, Panna Lal Sah

  • 1Department of Surgery, B.P. Koirala Institute of Health Sciences, Dharan, Nepal. rakesh154@yahoo.co.in

BMJ Case Reports
|August 7, 2012
PubMed

Insights

Congenital omental cysts are rare intra-abdominal pathologies. This case highlights the importance of high suspicion for accurate preoperative diagnosis and successful surgical management in children.

Area of Science:

  • Pediatric Surgery
  • Abdominal Imaging
  • Pathology

Background:

  • Congenital omental cysts are rare intra-abdominal pathologies.
  • Preoperative diagnosis is challenging, necessitating a high index of suspicion.
  • These cysts can present with significant abdominal distension in children.

Purpose of the Study:

  • To present a case of congenital omental cyst in a pediatric patient.
  • To emphasize the diagnostic utility of ultrasonography and CT scans.
  • To highlight the importance of preoperative diagnosis for optimal surgical planning.

Main Methods:

  • Diagnostic workup included ultrasonography and computed tomography (CT) of the abdomen.
  • Surgical exploration and complete excision of the cyst were performed.
  • Histological examination confirmed the diagnosis of an omental cyst.

Main Results:

  • A 3-year-old girl presented with massive abdominal distension.
  • Imaging revealed an omental cyst with characteristic features.
  • Histopathology confirmed an endothelial-lined cyst containing hemorrhagic fluid.

Conclusions:

  • Congenital omental cysts require a high index of suspicion for accurate preoperative diagnosis.
  • Diagnostic imaging modalities like USG and CT are crucial.
  • Complete surgical excision leads to favorable outcomes with no recurrence.

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