title: Giant omental hemorrhagic cyst presenting as acute hemorrhagic anemia in a 21-month-old infant.
abstract: An omental cyst is a very rare pathology, especially in small infants. Children generally present with abdominal distention with or without a palpable mass. The mass may be huge, simulating ascites. The most common presentation in children is that of a small-bowel obstruction. The differential diagnosis includes intestinal duplication cyst, ovarian, choledochal, pancreatic, splenic, or renal cysts, hydronephrosis, cystic teratoma, hydatid cyst, and ascites. We describe the clinical presentation, imaging features, surgical treatment, and postoperative course of a 21-month-old female infant with a congenital giant omental cyst. This entity is extremely rare but should be included in the differential diagnosis in similar cases.
authors.affiliation: From the *Department of Radiology, Hillel Yaffe Medical Center, Hadera, affiliated with the Faculty of Medicine, Technion-Israel Institute of Technology, Haifa; and †Department of Pediatric Surgery, Safra Children's Hospital Safra, Sheba Medical Center, Tel-Hashomer, Tel Aviv, Israel.
authors.forename: Natalia
authors.initials: N
authors.lastname: Kokhanovsky
authors.forename: Alicia
authors.initials: A
authors.lastname: Nachtigal
authors.forename: Nadir
authors.initials: N
authors.lastname: Reindorp
authors.forename: Daniel
authors.initials: D
authors.lastname: Shinhar
authors.forename: Abdel-Rauf
authors.initials: AR
authors.lastname: Zeina
mesh_terms: D000208:Acute Disease; D000740:Anemia / Q000209:etiology*; D003937:Diagnosis, Differential; D005260:Female; D006470:Hemorrhage / Q000150:complications*; D006801:Humans; D007223:Infant; D018191:Lymphangioma, Cystic / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D009852:Omentum; D010534:Peritoneal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology