Giant Congenital Solitary Cyst of the Liver: Report of a Case

Abstract

Giant solitary nonparasitic cysts of the liver are rarely encountered in children, and establishing a preoperative diagnosis is usually difficult, especially when the cyst occupies the entire abdomen. We report herein the case of an 8-year-old girl found to have a giant congenital solitary cyst of the liver masquerading as an ovarian cyst.

Rare hepatic malignant tumors: dynamic CT, MRI, and clinicopathologic features: with analysis of 54 cases and review of the literature

“…It has been reported to be associated with hepatic teratoma, hepatolithiasis, or hepatic cysts with chronic inflammation and metaplasia [42,[48][49][50][51]. Because of portal vein invasion and disseminated metastases, the prognosis is very poor, with no survival longer than 1 year ever having been reported [42,52,53].…”

Rapidly enlarging solitary nonparasitic cyst of the liver in a child presenting as acute abdomen

“…Although safe, percutaneous treatments are not sufficient, because these procedures show high recurrence rates (17-100%) [1,6,8,13]. Though a few reports describing a low recurrence rate after sclerotherapy have been published [8,9], these reports involve small numbers of patients and do not include children or infants.…”

“…2 Intraoperative photograph of the large mass arising from the left lobe of the liver Fig. 3 Histopathological examination showed that the cyst was lined by simple bland-looking columnar biliary-type epithelium with a thick fibrous wall ages, although the majority present in the fourth to sixth decades [1]. However, these lesions are rare in the pediatric age group [3,4].…”

“…Though a few reports describing a low recurrence rate after sclerotherapy have been published [8,9], these reports involve small numbers of patients and do not include children or infants. Cystectomy and hepatectomy are reliable methods with low recurrence rates (0-6.5%) [1,6,12], but are sometimes too invasive compared to percutaneous aspiration and sclerotherapy. Laparoscopic fenestration was first introduced by Z'graggen et al [16], and Fabiani et al in 1991 [10].…”

“…They occur at all ages, although the majority present in the fourth to the sixth decades [1,2]. The majority of SNCL are small and asymptomatic, but even large cysts often do not cause any symptoms.…”