Laparoscopic Fenestration for Omental Cysts in Children

Abstract

Two cases of omental cyst in children are reported. Girls aged 4 years and 7 years were admitted for abdominal distension. pain, fever, leucocytosis and elevated c-reactive protein. Abdominal ultrasonography and computed tomography revealed a large cystic intra-abdominal mass. Cystic lymphangioma originating from omentum or mesenterium was suspected. The cysts originated from lesser omentum in the first case and omentum in the second case. Cyst fenestration was performed laparoscopically. Post-operative course was satisfactory, and both girls were discharged on the 6th and 7th post-operative days respectively. Symptoms have not relapsed after 20 and 29 months follow-up, respectively.