“…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.…”