Shafi Sheikh Muzamil, Malla Misbha Afsheen, Reshi Farooq Ahmad
Post Graduate Department of Surgery, Government Medical College, Srinagar, India.
Afr J Paediatr Surg. 2009 Jan-Jun;6(1):58-60. doi: 10.4103/0189-6725.48581.
Primary omental cysts are rare intra-abdominal pathology, which are difficult to diagnose preoperatively; as such a high index of suspicion is required for accurate preoperative diagnosis. We present a case of primary omental cyst in an eight-year-old girl who presented with huge abdominal distension mimicking ascites. She was operated and cyst was extirpated completely. Histological examination revealed an omental cyst with endothelial lining and haemorrhagic fluid inside. Patient was followed up for a period of one year and had no post operative complication or recurrence of the disease. This case is reported to emphasise the inclusion of huge omental cyst in the differential diagnosis of ascites especially in the paediatric age group.
原发性网膜囊肿是一种罕见的腹腔内病变，术前难以诊断；因此，准确的术前诊断需要高度的怀疑指数。我们报告一例8岁女孩的原发性网膜囊肿病例，该女孩表现为酷似腹水的巨大腹胀。她接受了手术，囊肿被完全切除。组织学检查显示为一个有内皮衬里且内部有出血性液体的网膜囊肿。患者接受了为期一年的随访，术后无并发症或疾病复发。报告此病例是为了强调在腹水的鉴别诊断中应考虑巨大网膜囊肿，尤其是在儿童年龄组中。
