Central European Journal of Medicine

, Volume 7, Issue 4, pp 564–566 | Cite as

Ascites with no fluid in Morison’s pouch?

  • Zoran Marjanovic
  • Nikola Vacic
  • Dusanka Dobanovacki
  • Andjelka Slavkovic
Case Report


Omental cysts are the least common cystic lesions of the abdomen. Large intraabdominal cysts can mimic ascites. The incidence of 1 in 20000 pediatric hospital admissions makes them hard to diagnose. We report a three year-old boy with accidentally discovered intraperitoneal fluid collection on ultrasonography. The patient was scheduled for operative treatment with working diagnosis of ascites, but finding of no fluid in Morison’s pouch brought to massive cystic intraabdominal lesion as differential diagnosis. The cyst was emptied; altered parts of the greater omentum were completely excised. Final pathology confirmed lymphangioma. Explorative laparotomy led to correct diagnosis and proper surgical treatment.


Child Omentum Cyst Lymphangioma Explorative laparotomy Complete excision 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. [1]
    Egozi EL, Ricketts RR. Mesenteric and omental cysts in children. Am Surg 1997;63(3):287–90PubMedGoogle Scholar
  2. [2]
    Peterson EW. Mesenteric and Omental Cysts. Ann Surg 1932;96(3):340–349PubMedCrossRefGoogle Scholar
  3. [3]
    Grosfeld JL, O’Neill JA Jr, Fonkalsrud EW, Coran AG. Pediatric Surgery. 6th ed. Philadelphia: Mosby; 2006. Chapter 89, Mesenteric and Omental Cysts, p. 1399Google Scholar
  4. [4]
    Joshi N, Yadav S, Singh B, Gupta A. Omental cyst presenting as tubercular ascites. J Infect Dev Ctries 2010;4(3):183–186PubMedCrossRefGoogle Scholar
  5. [5]
    Kumar S, Agrawal N, Khanna R, Khanna AK. Giant lymphatic cyst of omentum: a case report. Cases Journal 2009;2:23PubMedCrossRefGoogle Scholar
  6. [6]
    Mohite PN, Bhatnagar AM, Parikh SN. A huge Omental Lymphangioma with extension into Labia Majorae: A case report. BMC Surgery 2006;6:18PubMedCrossRefGoogle Scholar
  7. [7]
    Klin B, Lotan G, Efrati Y, Vinograd I. Giant Omental Cyst in Children Presenting as Pseudoascites. Surgical Laparoscopy & Endoscopy 1997;7(4):291–293CrossRefGoogle Scholar
  8. [8]
    Fitoz S, Atasoy C, Ekim M, et al. Torsion of a Giant Omental Cyst Mimicking Ascites. J Clin Ultrasound 2007;35(2):85–87PubMedCrossRefGoogle Scholar
  9. [9]
    Rahman GA, Abdulkadir AY, Olatoke SA, et al. Giant neoplastic omental cyst masquerading as ascites: a case report. Cases Journal 2009;2:6482PubMedCrossRefGoogle Scholar

Copyright information

© Versita Warsaw and Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Zoran Marjanovic
    • 1
  • Nikola Vacic
    • 1
  • Dusanka Dobanovacki
    • 2
  • Andjelka Slavkovic
    • 1
  1. 1.Clinic for Pediatric SurgeryUniversity in NisNisSerbia
  2. 2.Clinic for Pediatric SurgeryHealth Care Institute for Children and Youth of VojvodinaNovi SadSerbia

Personalised recommendations