Medical science monitor : international medical journal of experimental and clinical research · 2007
An unusual presentation of an idiopathic omental pseudocyst: a case report and literature review.
Клинический случайСтатьяПоддержка исследования: вне правительства СШАОбзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Yallapragada Rahi Kiran, Shah Nehal Suresh Kumar, Bhaskar Pudhupalayam
Аннотация
BACKGROUND: Idiopathic omental pseudocysts occur very rarely in adults. Pseudocyst patients usually have a history of either trauma (e.g. seat belt injuries) or other related intra-abdominal pathology (e.g. pancreatitis, malignancy). They may result in a range of complications, from frequent abdominal pains with inconclusive diagnosis mimicking acute appendicitis, acute cholecystitis, or twisted ovarian cysts, to intestinal obstruction and peritonitis.
CASE REPORT: A rare case of omental pseudocyst presenting as an acute intestinal obstruction in a 64-year-old woman without any previous history of significant abdominal pain, relevant medical problems, or trauma is reported. On plain abdominal x-ray, the cyst with dystrophic calcifications appeared as a dermoid cyst with multiple teeth. The optimal diagnostic methods, such as CT scanning and ultrasound imaging, which may show a well-circumscribed soft tissue mass are discussed. Uncomplicated and stable patients with established diagnosis can be treated conservatively. Surgical management includes resection of the cyst by either laparoscopy or laparotomy.
CONCLUSIONS: Prognosis is good since omental cysts shows no documented tendency for malignant degeneration or recurrence. Optimal surgical management requires complete excision of these lesions.
CASE REPORT: A rare case of omental pseudocyst presenting as an acute intestinal obstruction in a 64-year-old woman without any previous history of significant abdominal pain, relevant medical problems, or trauma is reported. On plain abdominal x-ray, the cyst with dystrophic calcifications appeared as a dermoid cyst with multiple teeth. The optimal diagnostic methods, such as CT scanning and ultrasound imaging, which may show a well-circumscribed soft tissue mass are discussed. Uncomplicated and stable patients with established diagnosis can be treated conservatively. Surgical management includes resection of the cyst by either laparoscopy or laparotomy.
CONCLUSIONS: Prognosis is good since omental cysts shows no documented tendency for malignant degeneration or recurrence. Optimal surgical management requires complete excision of these lesions.