Laparoscopy in the management of a child with giant pseudocyst of the greater omentum

Cover Page

Cite item


Introduction. Greater omentum cysts found in children belong to a rare pathology occurring as frequent as 1:23000. During the majority of observations, they are diagnosed during an ultrasound examination and abdominal computed tomography. However, in some cases it is impossible to restore an organ from which a cyst can originate using visual non-invasive methods. Purpose. This paper presents a clinical case of surgical treatment of a 7-year-old child with giant pseudocyst of the greater omentum. Materials and methods. The patient complained of periodic pains in the abdomen and increased abdominal size. The diagnosis was made following an abdominal ultrasound examination when a giant liquid formation (200×180×220 mm) was found. Subsequent MRI and CT tests of the abdomen gave a view of a cystic formation which was allegedly a cystadenoma of the left ovary. A cystic formation occupying the entire abdominal cavity was detected during a laparoscopy. Puncture and aspiration of 2.7 L of serous and hemorrhagic liquid were performed. It was found out that the formation originated from the greater omentum. The greater omentum was resected within healthy tissues along the mesocolonic border and cystic membranes were removed via a separate incision. Conclusion. When diagnosing large cystic abdominal formations, a final diagnosis of organ origin can sometimes be established during laparoscopy only when endosurgical treatment could be done (in the presence of a respective technique and educated specialists).

About the authors

M. P. Razin

Kirov State Medical University

Author for correspondence.
ORCID iD: 0000-0003-3561-3256

Maxim P. RAZIN – Dr. Sci. (Med.), Professor, Head of the Department of Pediatric Surgery

K. Marks St., 112, Kirov, 610998
phone: (8332) 51–26–79 

Russian Federation

A. S. Kulaeva

Kirov State Medical University


Alena S. KULAEVA – Post‑graduate student of the Department of Pediatric Surgery

K. Marks St., 112, Kirov, 610998

Russian Federation

V. I. Lapshin

Kirov Regional Children’s Clinical Hospital

ORCID iD: 0000-0002-9027-3242

Vitaliy I. LAPSHIN – Resident of the surgical department

Mendeleyev Str., 16, Kirov, 610050

Russian Federation

M. A. Baturov

Kirov State Medical University

ORCID iD: 0000-0002-9136-2909

Maxim A. BATUROV – Assistant of professor of the Department of Pediatric Surgery

K. Marks St., 112, Kirov, 610998

Russian Federation


  1. Кочуков В. П., Ложкевич А. А., Островерхова Е. Г., Попова И. Э., Лозоватор А. Л., Бунин И. В. Киста большого сальника. Трудный пациент. 2012;10(1):34–35
  2. Москаленко В. З., Журило И. П., Литовка В. К. Редкие случаи в практике детского хирурга. Донецк: «Донеччина», 2004; 162 с.
  3. Поддубный И. В., Трунов В. О. Диагностика и лечение заболеваний большого сальника у детей. Детская хирургия. 2002;(5):42–44
  4. Horichi Т., Shimomatsuya Т. Laparoscopic excision of an omental cyst. J. Laparoendosc. Adv. Surg. Tech. 1999;9(5):411–3. doi: 10.1089/lap.1999.9.411
  5. Савчук М. О., Савчук О. Б. Врожденные кисты сальника у детей. Детская хирургия. 2007;(2):50–51
  6. Al-Saied G., Mahfouz M., Al-Samahy O., Ayob M., Abdulrazek M., Alnofei Z., et al. Variable Presentations of Mesenteric and Omental Cysts in Infancy and Childhood: Long-Term Follow-Up. Clin Surg. 2017;(2):1725
  7. Pampal A, Yagmurlu A. Successful laparoscopic removal of mesenteric and omental cysts in toddlers: 3 cases with a literature review. J Pediatr Surg. 2012;(47):5–8. doi: 10.1016/j.jpedsurg.2012.03.080
  8. Аксельров М. А., Абушкин И. А., Емельянова В. А., Разин М. П., Смирнов А. В., Щукина А. Ю. Киста большого сальника у ребенка. Медицинское образование сегодня. 2018;2(2):6–10

Copyright (c) 2019 Razin M.P., Kulaeva A.S., Lapshin V.I., Baturov M.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: ПИ № ФС 77 - 81892 от 24.09.2021 г.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies