Laparoscopic excision of huge omental cyst in children

Omental cyst is rare intra-abdominal mass in children which usually presents as progressive abdominal distension; it may or may not be associated with pain. In some cases it can present as acute abdomen if the cyst undergoes torsion or rupture. Ultrasound of the abdomen still plays an important first line radiological imaging followed by computed tomography to give better visualisation of the cyst. Complete excision is mainstay of treatment which can be achieved by either open or minimally invasive surgery. We report a case of huge omental cyst in a child and describe its laparoscopic approach to obtain complete successful excision of the mass.