case_images: PMC8856966_01
case_images: PMC8856966_02
case_images: abdominal X-ray showed prominent small bowels with thickening bowel wall (arrow)
case_images: PAMJ-40-257-g001.jpg
case_images: PMC8856966_02_PAMJ-40-257-g001.jpg
case_images: F1
case_images: His chest radiograph noted right pleural effusion and the abdominal radiograph showed prominent small bowels with thickening walls without a transitional point (Figure 1).
case_images: ultrasound imaging reported as duplication cyst with echogenic material within (arrow)
case_images: PAMJ-40-257-g002.jpg
case_images: PMC8856966_02_PAMJ-40-257-g002.jpg
case_images: F2
case_images: Ultrasound examination was performed and reported as a duplication cyst (Figure 2) with dilated small bowels and thicken wall but no free fluid.
case_images: ruptured omental cyst (arrow) during mobilisation from dense adhesion with the surrounding structure
case_images: PAMJ-40-257-g003.jpg
case_images: PMC8856966_02_PAMJ-40-257-g003.jpg
case_images: F3
case_images: The cyst was severely adhered to and eroded into the ileum (Figure 3) and causes a small perforation of about 1 cm with a healthy edge.
case_images: excised omental cyst
case_images: PAMJ-40-257-g004.jpg
case_images: PMC8856966_02_PAMJ-40-257-g004.jpg
case_images: F4
case_images: Excision of omental cyst (Figure 4) and ileal primary repair were done.