{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:27:11Z","timestamp":1787840831896,"version":"build-2784847793"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2026,3,20]],"date-time":"2026-03-20T00:00:00Z","timestamp":1773964800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Omental cysts are rare intra-abdominal lymphatic malformations in children, accounting for approximately 2% of all intra-abdominal lymphatic lesions. Their embryological origin remains uncertain, and preoperative diagnosis is often challenging due to their nonspecific clinical and radiological features. This study aims to present our institutional experience with omental cysts in children and review current literature on their presentation, evaluation, and management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A retrospective review was conducted in our department between 2015 and 2024. Medical records of children who underwent surgery for omental cysts were analyzed for demographic data, presentation, imaging findings, operative details, histopathology, and outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Nine children (eight boys, one girl; median age 4 years) underwent omentectomy for omental cysts. Abdominal pain or distension were the most common presentations. Preoperative imaging was suggestive of omental origin in only one child, with others reported as mesenteric cysts or lymphatic malformations. The mean cyst diameter was 14 cm, with laparoscopy attempted in two children, while the rest underwent laparotomy. Histopathology confirmed benign lymphatic malformation in all patients. Postoperative recovery was uneventful, with no recurrence on follow-up for a minimum of 5 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Omental cysts should be considered in the differential diagnosis of cystic abdominal lesions in children. Misdiagnosis as ascites or mesenteric cysts is common. Complete surgical excision through omentectomy remains the treatment of choice, offering excellent outcomes with minimal morbidity and negligible recurrence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jiaps.jiaps_345_25","type":"journal-article","created":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T04:00:13Z","timestamp":1774065613000},"page":"531-535","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Omental Cysts in the Pediatric Population: Diagnostic Challenges and Surgical Outcomes"],"prefix":"10.4103","volume":"31","author":[{"given":"Naveen","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Jehangir","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arun Kumar","family":"Loganathan","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,3,20]]},"reference":[{"key":"R1-20260706","doi-asserted-by":"crossref","first-page":"180","DOI":"10.4103\/0189-6725.115050","article-title":"Omental cyst presenting with profound anaemia","volume":"10","author":"Adikibi","year":"2013","journal-title":"Afr J Paediatr Surg"},{"key":"R2-20260706","doi-asserted-by":"crossref","first-page":"202","DOI":"10.1159\/000510022","article-title":"Omental cyst \u2013 Rare cause of abdominal pain in a 7-year-old child: A case report","volume":"28","author":"Sayeed","year":"2021","journal-title":"GE Port J Gastroenterol"},{"key":"R3-20260706","doi-asserted-by":"crossref","first-page":"102","DOI":"10.4174\/jkss.2012.83.2.102","article-title":"The surgical experience for retroperitoneal, mesenteric and omental cyst in children","volume":"83","author":"Nam","year":"2012","journal-title":"J Korean Surg Soc"},{"key":"R4-20260706","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1002\/jcu.20248","article-title":"Torsion of a giant omental cyst mimicking ascites","volume":"35","author":"Fitoz","year":"2007","journal-title":"J Clin Ultrasound"},{"key":"R5-20260706","doi-asserted-by":"crossref","first-page":"bcr2012006643","DOI":"10.1136\/bcr-2012-006643","article-title":"Congenital omental cyst","author":"Gupta","year":"2012","journal-title":"BMJ Case Rep 2012"},{"key":"R6-20260706","doi-asserted-by":"crossref","first-page":"58","DOI":"10.4103\/0189-6725.48581","article-title":"Giant primary omental cyst mimicking a pseudoascites","volume":"6","author":"Shafi","year":"2009","journal-title":"Afr J Paediatr Surg"},{"key":"R7-20260706","doi-asserted-by":"crossref","first-page":"183","DOI":"10.3855\/jidc.314","article-title":"Omental cyst presenting as tubercular ascites","volume":"4","author":"Joshi","year":"2010","journal-title":"J Infect Dev Ctries"},{"key":"R8-20260706","doi-asserted-by":"crossref","first-page":"e31943","DOI":"10.5812\/iranjradiol.31943","article-title":"Giant omental cyst (lymphangioma) mimicking ascites and tuberculosis","volume":"13","author":"Karhan","year":"2016","journal-title":"Iran J Radiol"},{"key":"R9-20260706","first-page":"43","article-title":"Omental cyst presenting as an acute abdomen in a pediatric patient: A case report","volume":"15","author":"Alemu","year":"2022","journal-title":"Int Med Case Rep J"},{"key":"R10-20260706","first-page":"153","article-title":"Omental cyst in children presenting as pseudoascites: Report of two cases and review of the literature","volume":"44","author":"Prasad","year":"2001","journal-title":"Indian J Pathol Microbiol"},{"key":"R11-20260706","first-page":"395","article-title":"Giant omental cyst masquerading as hemorrhagic ascites","volume":"42","author":"Menon","year":"2005","journal-title":"Indian Pediatr"},{"key":"R13-20260706","doi-asserted-by":"crossref","first-page":"418","DOI":"10.4236\/ojped.2013.34075","article-title":"Omental cysts in children: Rare causes of abdominal masses (a report of two cases)","volume":"03","author":"Bassiouny","year":"2013","journal-title":"Open Journal of Pediatrics"},{"key":"R14-20260706","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1186\/s43159-021-00129-0","article-title":"Omental cyst: A case report and review of the literature","volume":"17","author":"Robbins","year":"2021","journal-title":"Ann Pediatr Surg"},{"key":"R15-20260706","first-page":"257","article-title":"Infected omental cyst complicated with subacute intestinal obstruction and ileal erosion in a 2-year-old boy: A case report","volume":"40","author":"Chong","year":"2021","journal-title":"Pan Afr Med J"},{"key":"R16-20260706","first-page":"e50606","article-title":"Omental cyst with torsion: A rare culprit of pediatric acute abdomen","volume":"15","author":"Albejais","year":"2023","journal-title":"Cureus"},{"key":"R17-20260706","doi-asserted-by":"crossref","first-page":"1255545","DOI":"10.3389\/fmed.2023.1255545","article-title":"Toddler with giant omental cyst, profound anemia, and shock: case report and review of the literature","volume":"10","author":"Cheng","year":"2023","journal-title":"Front Med (Lausanne)"},{"key":"R18-20260706","first-page":"rjae774","article-title":"Giant primary omental cyst: An unusual cause of pseudoascites and hydrocele in a child","author":"Mohamed","year":"2024","journal-title":"J Surg Case Rep 2024"}],"container-title":["Journal of Indian Association of Pediatric Surgeons"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_345_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:29:52Z","timestamp":1787837392000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jiaps.jiaps_345_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,20]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jiaps.jiaps_345_25","relation":{},"ISSN":["0971-9261","1998-3891"],"issn-type":[{"value":"0971-9261","type":"print"},{"value":"1998-3891","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,20]]},"assertion":[{"value":"2025-10-05","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-19","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}