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Case Report
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| A giant omental cyst mimicking ascites in a three-year-old Congolese child | ||||||
| Léon Tshilolo1,2, Rudy Lukamba1, Alphonse Simbi1, Valentin Kazadi3, Christian Mayemba1,4, Bienvenu Lebwaze4, Raphael Kalengayi4 | ||||||
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1MD, Paediatrics, Centre Hospitalier Monkole.
2MD, Centre de Formation et d'Appui Sanitaire (CEFA). 3MD, Surgery Department, Cliniques Universitaires de Kinshasa. 4MD, Department of medical Biology, University of Kinshasa). | ||||||
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| How to cite this article |
| Tshilolo L, Lukamba R, Simbi A, Kazadi V, Mayemba C, Lebwaze B, Kalengayi R. A giant omental cyst mimicking ascites in a three-year-old Congolese child. Int J Case Rep Images 2016;7(7):471–475. |
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Abstract
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Introduction:
Omental and mesenteric cysts are rare intra-abdominal lesions. They can present as an abdominal distension and make differential diagnosis with ascites.
Case Report: A three-year-old boy with fever, under nutrition and abdominal distension previously diagnosed as ascites was submitted to laparotomy. We founded a large multi lobed cyst from the large omentum filling almost the entire abdominal cavity and containing sero-hemorrhagic to very dark liquid. The histopathologic examination showed a cystic formation lined by cubic mesothelium cells, with abundant inflammatory infiltrate rich in lymphocytes and histiocytes, mixed with a few giant cells of foreign body of melanotic origin. Conclusion: The diagnostic role of sonography in abdominal distension of unknown etiology is emphasized. | |
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Keywords:
Ascites, Child, Melanotic pigments, Omental cyst
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Author Contributions
Léon Tshilolo – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Rudy Lukamba – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Alphonse Simbi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Valentin Kazadi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Christian Mayemba – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Bienvenu Lebwaze – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Raphael Kalengayi – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Léon Tshilolo et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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