Omental Cysts a Rare Intra-Abdominal Pathology: Two Case Reports

Omental cysts are any cyst that is confined to greater or lesser omentum, the most common site benign the greater omentum. The incidence of omental cyst is 1 in 20000 among children’s. So far, only 150 cases have been reported in the literature.

Omental cysts are benign intra-abdominal lesions primarily in children under the age of 10 years (68%), although they have been reported in adults. These are most commonly serous-filled cysts lined by cuboidal epithelium with fibrous wall. The cysts may be filled with serous, chylous or haemorrhagic fluid. They can also present with features of an acute abdomen due to bleeding in to the cyst, torsion or rupture of the cysts.

Herein, we report two cases of omental cysts, 32 years old lady who presented with abdominal lump at epigastric and umbilical region and cyst was originating from lesser sac. Second case of 8 years’ boy who presented with pain in abdomen and lump in abdomen. Both patients were diagnosed on abdominal ultrasonography, a cystic mass which is freely mobile in the abdomen.

Patients underwent explorative laparotomy and we performed total excision of the omental cyst.