Dirk Schaper, V. Hofmann (Kinderchirurgie St. Barbara-Krankenhaus Halle/S.)  

Viewable for logged on visitors (Log on)  

N/A  

N/A  

Abdomen-Other and unknown  

congenital  

For weeks the patient had a distended abdomen without signs of distress. Increased abdominal girth (pants didn't fit anymore). No fever, no paraclinical signs. No decease in performance. In sonographic examinations done by the primary care physician and by a pediatric hospital, a suspicion of ascites was expressed. Patient was admitted for clarification.  

N/A  

<- view Ultrasound 1

Ultrasound 1: Lower abdominal longitudinal slice. Retrovesical fluid without inner echo. Majority is rather supravesical. A change in position affected the distribution of the fluid minimally.




<- view Ultrasound 2

Ultrasound 2: Longitudinal slice of the left upper quadrant. Echo-free fluid with no relation to the organ. After the patient was repositioned, only a limited fluid distribution in the abdomen.




<- view OP-Situs 1

OP-Situs 1: Laparoscopic assissted removal of the pathological finding





<- view OP-Situs 2

OP-Situs 2: Specimen

 

Surgery / Histo  

Mesenterial cyst, ascites  

Laparoscopy and confirmation of the sonographic suspicion of a cystic structure in the lower abdomen. Laparoscopic assistance for removal of the omental cyst.  

N/A  

N/A  

1. Medline:
Prasad KK, Jain M, Gupta RK.
Omental cyst in children presenting as pseudoascites: report of two cases and review of the literature.
Indian J Pathol Microbiol. 2001 Apr;44(2):153-5

2. Medline:
Klin B, Lotan G, Efrati Y, Vinograd I.
Giant omental cyst in children presenting as pseudoascites
Surg Laparosc Endosc. 1997 Aug;7(4):291-3.

 

Omentum majus, Cyst, omental cyst, omentum cyst, child, childhood, pediatric radiology  

Dirk Schaper, V Hofmann. Omental cyst. PedRad [serial online] vol 3, no. 12.
URL: www.PedRad.info/?search=20031212124919