Evidence map›Paper›PMID 40660240›Full record

ReviewBMC women's health2025

Hemorrhagic necrosis of omental cysts misdiagnosed as torsion of ovarian cysts: a case report and literature review.

Min You, Wei Zhao, Mengyun Zhou, Ziqi Zhai, Lixia Tian, Erkai Yu

Abstract readCase ReportsReview
In one paragraph

Review in BMC women's health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Min You *Department of Gynecology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, No. 725, Wanpingnan Road, Xuhui District, Shanghai, 200032, China.
Wei ZhaoDepartment of Gynecology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, No. 725, Wanpingnan Road, Xuhui District, Shanghai, 200032, China.
Mengyun ZhouDepartment of Gynecology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, No. 725, Wanpingnan Road, Xuhui District, Shanghai, 200032, China.
Ziqi ZhaiDepartment of Gynecology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, No. 725, Wanpingnan Road, Xuhui District, Shanghai, 200032, China.
Lixia TianDepartment of Gynecology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, No. 725, Wanpingnan Road, Xuhui District, Shanghai, 200032, China. 274719830@qq.com.
Erkai YuDepartment of Gynecology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, No. 725, Wanpingnan Road, Xuhui District, Shanghai, 200032, China. yuerkai2021@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOmental cysts are extremely rare intra-abdominal lesions that are typically benign and asymptomatic. When hemorrhagic necrosis occurs, it may mimic other acute abdominal emergencies, such as adnexal torsion. Omental cysts are easily misdiagnosed as other diseases because of their lack of specific clinical symptoms and signs, thus posing a diagnostic challenge. CASE

introductionWe report a 32-year-old woman presenting with acute lower abdominal pain and fever, initially diagnosed with ovarian cyst torsion. Imaging revealed a large pelvic cystic mass; however, laparoscopic exploration identified a hemorrhagic omental cyst with necrosis and inflammatory adhesion. Complete excision was performed, and histopathology confirmed a benign omental cyst with hemorrhage and necrosis. The patient recovered uneventfully and showed no recurrence over 11 months of follow-up.

conclusionAnalyzing this case allowed us to delve into the causes of misdiagnosis of omental cysts. This case emphasizes the diagnostic difficulty posed by complicated omental cysts and highlights the necessity of considering omental cyst in women presenting with acute abdomen and pelvic masses. Imaging aids diagnosis, but surgical exploration is the most direct and reliable method for confirming the cause of abdominal pain. Timely laparoscopic intervention facilitates accurate diagnosis and effective management.

Indexed as

CystsDiagnostic ErrorsHemorrhageOmentumOvarian CystsOvarian TorsionPeritoneal DiseasesAbdomen, AcuteAbdominal PainAdultDiagnosis, DifferentialFemaleHumansLaparoscopyNecrosisTorsion AbnormalityAbdominal massAcute abdomenOmentum cystOvarian mass

Identifiers

PMID40660240
PMCPMC12257774

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.