An unusual presentation of an idiopathic omental pseudocyst: a case report and literature review.
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.


METHODS
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.
Yallapragada
Rahi Kiran
RK
University Hospital of Hartlepool, Hartlepool, UK. yrahikiran@yahoo.com
Shah
Nehal Suresh Kumar
NS
Bhaskar
Pudhupalayam
P
D002113:Calcification, Physiologic; D003974:Diatrizoate Meglumine; D005260:Female; D006801:Humans; D007421:Intestine, Small / Q000000981:diagnostic imaging; D008875:Middle Aged; D010532:Peritoneal Diseases / Q000473:pathology*; D011860:Radiography, Abdominal
D003974:Diatrizoate Meglumine