Toddler with giant omental cyst, profound anemia, and shock: case report and review of the literature

Omental Cyst With Torsion: A Rare Culprit of Pediatric Acute Abdomen

Acute abdominal pain in pediatric patients poses a diagnostic challenge due to diverse etiologies, ranging from benign to life-threatening conditions. Omental cysts, though rare, constitute a distinctive subset characterized by a fluid-filled sac arising from the greater omentum. We present the case of a three-year-old male who presented with severe abdominal pain localized to the right upper quadrant, progressively worsening over 24 hours. Physical examination revealed tenderness and a palpable mass. Laboratory investigations indicated mild leukocytosis. Contrast-enhanced computed tomography identified an omental cyst with torsion. Intraoperatively, the cyst arising from the greater omentum exhibited torsion, leading to ischemic changes. Surgical excision successfully corrected the torsion and removed the cyst. Omental torsion is a rare complication of omental cysts. Prompt recognition and surgical intervention are crucial, emphasizing the importance of considering diverse etiologies in acute pediatric abdominal pain.