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Solitary Septated Simple Liver Cyst in a Newborn Infant.

Ropp E, Alviedo N, Kent A, Cohen I - ACG Case Rep J (2015)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, University of Florida College of Medicine, Jacksonville, FL.

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.

No MeSH data available.


Related in: MedlinePlus

Postnatal MRI axial T2 image demonstrating a compressed IVC (arrow) and liver parenchyma anterior, posterior, and medial to the cyst.
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Figure 3: Postnatal MRI axial T2 image demonstrating a compressed IVC (arrow) and liver parenchyma anterior, posterior, and medial to the cyst.

Mentions: The pregnancy was uncomplicated. A male infant was born following an uneventful spontaneous vaginal delivery at week 38 of gestation. On physical examination, the newborn infant had an increased abdominal circumference, systolic murmur, and an undescended right testicle. The abdominal wall musculature was hypotonic, and a mass was palpable in the right abdomen. In the nursery, the infant remained comfortable on room air and tolerated feeds. On day 2, abdominal magnetic resonance imaging (MRI) revealed an 8.6 × 5 × 8-cm fluid filled mass in the right upper quadrant extending downward with thin margins. The mass had decreased T1 signal with increased T2 signal without solid enhancement after contrast administration (Figure 2). A small septation was seen anteriorly, with a surrounding thin rim of enhancement and multiple rounded T2 hypointense foci in the gallbladder without intra- or extrahepatic ductal dilations. Other findings included compression of the right kidney, gallbladder stones, and sludge secondary to bile duct compression, and inferior vena cava (IVC) flattening concerning for obstruction (Figure 3).


Solitary Septated Simple Liver Cyst in a Newborn Infant.

Ropp E, Alviedo N, Kent A, Cohen I - ACG Case Rep J (2015)

Postnatal MRI axial T2 image demonstrating a compressed IVC (arrow) and liver parenchyma anterior, posterior, and medial to the cyst.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4508959&req=5

Figure 3: Postnatal MRI axial T2 image demonstrating a compressed IVC (arrow) and liver parenchyma anterior, posterior, and medial to the cyst.
Mentions: The pregnancy was uncomplicated. A male infant was born following an uneventful spontaneous vaginal delivery at week 38 of gestation. On physical examination, the newborn infant had an increased abdominal circumference, systolic murmur, and an undescended right testicle. The abdominal wall musculature was hypotonic, and a mass was palpable in the right abdomen. In the nursery, the infant remained comfortable on room air and tolerated feeds. On day 2, abdominal magnetic resonance imaging (MRI) revealed an 8.6 × 5 × 8-cm fluid filled mass in the right upper quadrant extending downward with thin margins. The mass had decreased T1 signal with increased T2 signal without solid enhancement after contrast administration (Figure 2). A small septation was seen anteriorly, with a surrounding thin rim of enhancement and multiple rounded T2 hypointense foci in the gallbladder without intra- or extrahepatic ductal dilations. Other findings included compression of the right kidney, gallbladder stones, and sludge secondary to bile duct compression, and inferior vena cava (IVC) flattening concerning for obstruction (Figure 3).

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, University of Florida College of Medicine, Jacksonville, FL.

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.

No MeSH data available.


Related in: MedlinePlus