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Giant Omental Cyst (Lymphangioma) Mimicking Ascites and Tuberculosis

Asuman Nur Karhan1, Tutku Soyer2, Altan Gunes3

  • 1Department of Pediatric Gastroenterology, Faculty of Medicine, Hacettepe University, Ankara, Turkey.

Iranian Journal of Radiology : a Quarterly Journal Published by the Iranian Radiological Society
|November 18, 2016
PubMed

Insights

Omental cysts are rare pediatric abdominal masses that can mimic tuberculosis and ascites. Complete surgical resection is the recommended treatment for these unusual presentations.

Area of Science:

  • Pediatric Surgery
  • Abdominal Pathology
  • Medical Imaging

Background:

  • Omental and mesenteric cysts are rare pediatric abdominal pathologies.
  • Omental cysts often present with abdominal distension and palpable masses.
  • These cysts can mimic other conditions like ascites or abdominal tuberculosis.

Observation:

  • A five-and-a-half-year-old boy was initially treated for abdominal tuberculosis and ascites.
  • The patient's symptoms included abdominal distension.
  • Diagnostic imaging at another hospital suggested tuberculosis and ascites.

Findings:

  • After three years, the patient underwent surgery for his condition.
  • Intraoperative findings revealed an omental cyst.
  • Pathological examination confirmed the diagnosis of an omental cyst.

Implications:

  • This case highlights the unusual presentation of omental cysts in children.
  • It underscores the importance of considering rare diagnoses in pediatric abdominal masses.
  • Accurate diagnosis and complete surgical resection are crucial for effective management.

Keywords:
AscitesChildCystLymphangiomaOmentumTuberculosis

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