Large Omental Cyst-Case Report and Literature Review

The following case over view summarizes diagnostic approach of a large omental cyst regarding a 52-year-old male with vague abdominal pain. While most literature reports incidental diagnosis of this pathology, there are clinical and radiologic data which can lead to its consideration as a differential diagnosis. Cyst throughout omental leaves are a rare condition usually found in patients who seek medical attention due to abdominal distention in addition to a painless abdominal tumor. The most frequent sign at the clinical exploration suspecting an omental cyst is described as an abdominal tumor not attached to deep structures. The approach to the diagnosis of an omental cyst incorporates a complete radiologic overview with ultrasonography and CT scan. Full resection of the tumor is established as the therapeutic of choice. CT is a key component in the election of either laparotomy or laparoscopic approach. In our patient, a loculated cystic tumor measuring 23 cm × 25 cm × 9.9 cm was reported in CT scan. Due to the radiologic findings, we opted an open approach. After 5-day surveillance in this unit, the patient was sent home. The tumor was identified as a loculated inclusion-type cyst by histopathology. A 6-month follow-up showed no recurrence of cystic lesions upon radiologic study.