Rare asymptomatic presentation of omental mass from cesarean stitchline

Abstract

A case of big oozing lump of unknown origin through a healed cesarean section stitchline, completely asymptomatic at presentation, origin discovered as omentum on exploratory laparotomy came on 10th postoperative day of an uneventful emergency surgery. This rare and silent presentation highlights the need to reconsider the practice of peritoneal nonclosure during cesarean section that has been adopted widely in recent past. It also calls for meticulous dissection and repair of rectus sheath during laparotomy.