title: An unusual presentation of an idiopathic omental pseudocyst: a case report and literature review.
abstract: 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.
authors.affiliation: University Hospital of Hartlepool, Hartlepool, UK. yrahikiran@yahoo.com
authors.forename: Rahi Kiran
authors.initials: RK
authors.lastname: Yallapragada
authors.forename: Nehal Suresh Kumar
authors.initials: NS
authors.lastname: Shah
authors.forename: Pudhupalayam
authors.initials: P
authors.lastname: Bhaskar
mesh_terms: 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
chemical_list: D003974:Diatrizoate Meglumine