2015
DOI: 10.14309/crj.2015.77
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Solitary Septated Simple Liver Cyst in a Newborn Infant

Abstract: Simple liver cysts (SLC) are generally rare and are typically symptomatic when detected in infancy. We present a case of a newborn infant in whom fetal ultrasound and MRI revealed a cystic structure. Postnatal imaging revealed a septated, single cystic structure causing mass effect on the common bile duct and partially obstructing the inferior vena cava. Treatment of a solitary septated SLC was successful by laparoscopic total excision. The infant had an uncomplicated postsurgical course and has done well.

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Cited by 7 publications
(4 citation statements)
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“…Postnatally, different evolution patterns have been described for antenatally diagnosed hepatic cysts. Several authors proposed, in postnatal period, cystectomy for cases with symptoms [ 2 , 4 ] or cases exhibiting cyst enlargement. [ 5 , 6 ] Cysts were mostly excised via an open abdominal surgery.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Postnatally, different evolution patterns have been described for antenatally diagnosed hepatic cysts. Several authors proposed, in postnatal period, cystectomy for cases with symptoms [ 2 , 4 ] or cases exhibiting cyst enlargement. [ 5 , 6 ] Cysts were mostly excised via an open abdominal surgery.…”
Section: Discussionmentioning
confidence: 99%
“…[ 5 , 6 ] Cysts were mostly excised via an open abdominal surgery. [ 2 , 4 , 5 ] For the antenatal approach, in utero percutaneous aspiration was reported. [ 6 ] For asymptomatic and non-evolving cysts, a passive approach has been proposed.…”
Section: Discussionmentioning
confidence: 99%
“…2 Surgical intervention is recommended for children with symptoms such as feeding difficulty, respiratory distress, abdominal distention, or duodenal obstruction. [1][2][3][4] Children with SHCs that are enlarging or greater than 3 cm should be referred for surgical evaluation because of the risk of biliary obstruction, hemorrhage, torsion, rupture, caval obstruction, and risk of malignant transformation (squamous cell carcinoma). 1,3 Our patient was asymptomatic, but her cyst had grown over several weeks.…”
mentioning
confidence: 99%
“…2 To prevent recurrence, complete cyst excision or enucleation is recommended. 3 Partial or total lobectomy may be required for cysts located deep within the liver parenchyma. 4 In our patient, laparoscopy allowed for definitive diagnosis and complete excision.…”
mentioning
confidence: 99%