Omental Lymphatic Cyst Torsion Mimicking Urinary Retention: Case Report

Omental lymphatic cysts are rare, benign intra-abdominal lesions in children that often pose diagnostic challenges due to nonspecific clinical features. We present a four-year-old male who manifested with lower abdominal pain, dysuria, and acute urinary retention, initially suspected to be due to a urinary tract infection. Radiological evaluation revealed a large suprapubic cystic lesion displacing the bladder. Exploratory laparotomy identified a torsed omental lymphatic cyst. Complete surgical excision led to full recovery. This case highlights the diagnostic dilemmas and surgical challenges associated with omental cysts in children, especially when presenting with atypical genitourinary symptoms.