Giant neoplastic omental cyst masquerading as ascites: a case report.

Cases Journal
Ganiyu A RahmanKolawole T Braimoh

Abstract

Cystic lesion of the omentum and mesentery are rare. The incidence of both cyst types has been variously reported to vary from 1/27,000-100,000 hospital admission. Omental cysts occur three to ten times less frequently than mesenteric cyst. Preoperative diagnosis is infrequently made because of lack of characteristic symptoms and signs. We present our diagnostic and management challenges in a 43-year-old man with an unusually giant omental cyst confirmed as fibrosarcoma at histology. The cyst gave the abdomen an anteroposterior diameter of about 74 cm that could not be penetrated sufficiently by X-ray photons to produce diagnostic image even at maximum attainable output. Patient benefited from surgical excision. The removed cyst contained about 35 litres of fluid. Neglected omental cysts as in this case may grow to enormous size, undergo malignant transformation and poses serious diagnostic and surgical challenges.

References

Jun 1, 1970·American Journal of Surgery·W J Hardin, J D Hardy
Jul 1, 1984·Archives of Surgery·V W Vanek, A K Phillips
Jul 1, 1964·American Journal of Surgery·G J FARHA, F W ROBINSON
Feb 14, 2004·Zeitschrift für Gastroenterologie·R PfitzmannP Neuhaus
Feb 17, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Giovanni ConzoLivrea Antonio
Mar 3, 2011·Surgery Today·Hou-Ping ChenXue-Jun Wang

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Citations

May 8, 2013·Acta Paediatrica·Katie E BrodieRichard M Lindley
Feb 10, 2017·Iranian Red Crescent Medical Journal·Yusuf YagmurMehmet Ali Can

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Methods Mentioned

BETA
X-ray

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