The substantial morbidity and mortality associated with severe acute pancreatitis has led to a variety of therapeutic approaches. We reviewed the records of 40 patients who had undergone the "triple-tube" procedure (gastrostomy, cholecystostomy, and jejunostomy) with drainage of the lesser sac and retroperitoneum. Cardiovascular, respiratory, renal, and hepatic dysfunction were common, and reop...

omental and mesenteric cysts are both rare pathologies in children. children who have omental cysts usually display symptoms of abdominal distension, with or without a palpable mass. the mass can simulate ascites on clinical observation, or tuberculosis on radiological images. the optimal treatment for this condition is complete resection. the presenting symptoms of abdominal distension and the...

Omental and mesenteric cysts are rare intra-abdominal masses in the pediatric population. When large, these lesions can mimic large-volume ascites and may not be immediately recognized. This can lead to a delay in appropriate treatment as a result of additional unnecessary tests and procedures. We present a case of a large omental cyst in an 18-month-old male with emphasis on imaging findings t...

A rare case is provided of a 74 year old man who presented with ascites of unknown etiology. CT scan of the abdomen revealed extensive omental caking, and omental biopsy cytogenetics showed findings in keeping with a diagnosis of desmoplastic small round cell tumour (DSRCT). This case is unique in that it involves a significantly older patient, negative WT1 immunohistochemical staining, and neg...

M oday, Sptem er 6, 2016 oncologic axillary and groin lymph node dissection. Vascularized lymph node transfer based on the omental flap has been proposed as a potential solution to lymphedema. However, literature characterizing the gastroepiploicbased omental flap and corresponding lymph nodes does not currently exist. The purpose of this study is to describe lymph node anatomy along the gastro...

Surgery is the only effective treatment for dysplasia in the gastrointestinal tract with considerable associated morbidity and mortality and is difficult to justify without confirmed malignancy. Photodynamic therapy (PDT) produces localised necrosis, which can be limited to the mucosa. This study examined the mechanical properties of the normal rat stomach after PDT. The aim of this study was t...

A 65 year old postmenopausal female presented with left sided abdominal pain. Sonogram revealed an intra-abdominal 7.4 x 5.7 cm heterogenous mass. On laparotomy, approximately 10 X 10 cm mesenteric mass was seen adherent to the descending colon. Multiple omental tumor deposits were also noted. Gross examination showed solid and cystic tumor with sebaceous material admixed with hair. Histopathol...

Omental torsion is an underdiagnosed cause of acute abdomen in children. Most cases occur in adults, with only 15% presenting in children. It is estimated that omental infarct is found in approximately 0.1 to 0.5% of children undergoing operations for appendicitis. It may present with various signs and symptoms, although the clinical presentation usually mimics that of acute appendicitis. Defin...

Acute spontaneous intra-abdominal hemorrhage can be life-threatening and is particularly challenging in resource-poor settings. A 35-year-old woman presented in acutely hypotensive with a distended, rigid abdomen. A paracentesis produced >10 mL of non-clotting blood and she was taken to the operating room where significant bleeding from a liver cancer nodule was identified. With no other option...