Giant multiloculated omental cyst in a pediatric patient. Case report and literature review
DOI:
https://doi.org/10.62486/agmu202488Keywords:
Omental cyst, ascites, abdominal masses, mesentery cystAbstract
Introduction: Omental cysts are rare intra-abdominal lesions, with a frequency of 1:250,000, which often present asymptomatically. However, they can cause abdominal distension, or even surgical abdominal symptoms.
Case report: A 3-year-old female patient presents with a clinical picture of 2 years of evolution, reporting progressive abdominal distention since she was one year old and abdominal pain for 2 weeks. Physical findings show an abdomen with great abdominal distention, tense and painful on superficial and deep palpation. A contrast-enhanced CT scan of the abdomen and pelvis revealed abdominopelvic cystic lesions. Exploratory laparotomy revealed a giant multilocular cystic mass dependent on the greater omentum. The pathological report revealed a giant omentum cyst. A successful surgical resection of the cystic lesions was performed and a favorable post-surgical evolution was performed.
Conclusions: Omentum cysts are rare in paediatrics. Diagnosis is based on imaging studies and is confirmed during surgery. Surgical treatment is effective and with few complications
References
Al Varado García DRR, Vargas DREU, Aliñas DRSF, Gallego Grijalva DRJ. Quistes de epiplón y mesenterio en niños [Internet]. Gob.mx:8180. 2001. Disponible en: http://repositorio.pediatria.gob.mx:8180/bitstream/20.500.12103/1367/1/ActPed2001_46.pdf
Fernández Ramos J, Vázquez Rueda F, Azpilicueta Idarreta M, Díaz Aguilar C. Quiste mesotelial gigante de omento mayor. An Pediatr (Barc) [Internet]. 2009;71(2):180–1. Disponible en: https://doi.org/10.1016/j.anpedi.2009.05.003 DOI: https://doi.org/10.1016/j.anpedi.2009.05.003
La Parra Márquez M, Prado I, Gaona D, Arzoz Gálvez M, Lopez Martínez R. Quiste gigante de epiplón: informe de un caso en un sujeto pre-escolar. Cirujano General 2004. Disponible en: https://www.medigraphic.com/pdfs/imss/im-2010/im105p.pdf
Nett MH, Vo NJ, Chapman T. Large omental cyst. Radiol Case Rep [Internet]. Available at: https://doi.org/10.2484/rcr.v5i2.388 DOI: https://doi.org/10.2484/rcr.v5i2.388
Zurita DÁ, Peñarreta y E. Zambrano L. Quiste gigante de epiplón en niños [Internet]. Org.ar. [citado el 24 de junio de 2024]. Disponible en: https://acacip.org.ar/revista-cirugia-infantil/indice-29/docs/12-Quiste-gigante-de-epiplon-en-ninos.pdf
Álvarez-Solís RM, Francisco-Javier Chagolla-Santillán, Quero-Hernández A, et al. Quistes de mesenterio y epiplón en niños. Estudio clínico de 21 casos. Pediatr Mex. 2009;11(1):20-23. Disponible en: https://www.medigraphic.com/pdfs/conapeme/pm-2009/pm091g.pdf
Robbins KJ, Antiel RM, Shakhsheer BA. Omental cyst: a case report and review of the literature. Ann Pediatr Surg [Internet]. Available at: https://doi.org/10.1186/s43159-021-00129-0 DOI: https://doi.org/10.1186/s43159-021-00129-0
Published
Issue
Section
License
Copyright (c) 2024 Giovanni Callizaya Macedo, Jhossmar Cristians Auza-Santivañez, Daniel Ramiro Elías Vallejos Rejas, Ritdber Alfredo Quispe Sarmiento, Jhaleny Jael Flores Canaviri, Liliana Heydi Suarez Laime (Author)
This work is licensed under a Creative Commons Attribution 4.0 International License.
The article is distributed under the Creative Commons Attribution 4.0 License. Unless otherwise stated, associated published material is distributed under the same licence.
