Outcomes associated with fetal hepatobiliary cysts: systematic review and meta‐analysis

Leombroni, Martina; Buca, D.; Celentano, Claudio; Liberati, Marco; Bascietto, F.; Gustapane, Sarah; Marrone, Luisa; Manzoli, Lamberto; Rizzo, Giuseppe; D’Antonio, Francesco

doi:10.1002/uog.17244

Cited by 9 publications

(7 citation statements)

References 40 publications

(46 reference statements)

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“…An ultrasound scan was postnatally performed on the infants with prenatally detected cysts. Asymptomatic hepatic cysts can be monitored by ultrasound because a complete spontaneous resolution of prenatally diagnosed hepatic cysts has been reported in a recent systematic review and meta-analysis[ 12 - 14 ]. Occasionally, an intraoperatively encountered cyst is found to be pedunculated and is easily excised.…”

Section: Discussionmentioning

confidence: 99%

Congenital hepatic cyst: Eleven case reports

Du¹,

Lu²,

Li³

et al. 2022

WJCC

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BACKGROUND Liver cysts in infants are uncommon. With modern diagnostic imaging, we can achieve an early diagnosis of congenital hepatic cysts. Our purpose was to investigate the clinical features, surgical treatment methods and prognosis of infants with congenital hepatic cysts. Herein, we report a case series of congenital hepatic cysts. CASE SUMMARY Eleven infants with hepatic cysts were retrospectively analysed. Ten of them had simple hepatic cysts, and a girl with a large hepatic mass was diagnosed with a solitary intrahepatic biliary cyst accompanied by a choledochal cyst. Among the ten simple hepatic cysts, eight were solitary and two were multiple. A total of 87.5% (7 of 8) of infants with solitary hepatic cysts were detected before delivery, and 86% (6 of 7) of those cysts were located in the right lobe of the liver. Surgical intervention was required for symptomatic hepatic cysts. Cyst resection or unroofing with fulguration of the cyst bed was employed. No recurrence of cysts was observed in these infants. CONCLUSION Congenital hepatic cyst is a condition with a narrow differential diagnosis. Accurate diagnosis is essential for appropriate management. Unroofing is the favoured treatment in infants with symptomatic cysts. Most infants with congenital hepatic cysts have a good prognosis.

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Section: Discussionmentioning

confidence: 99%

Congenital hepatic cyst: Eleven case reports

Du¹,

Lu²,

Li³

et al. 2022

WJCC

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“…Exophytic simple hepatic cysts may mimic choledochal cysts and cystic biliary atresia; however hepatic cysts typically present with a normal gallbladder and normal size of the bile ducts and do not connect with the biliary tree. Hepatic cysts are usually not associated with other congenital anomalies [49][50][51][52]. They tend to remain stable in size or regress over time.…”

Section: A C C E P T E D a R T I C L Ementioning

confidence: 99%

“…They tend to remain stable in size or regress over time. Surgical treatment is reserved for symptomatic or enlarging lesions [ 48 , 51 - 54 ].…”

Section: Porta Hepatis and Hepatic Cystic Massesmentioning

confidence: 99%

Approach to the postnatal sonographic evaluation of prenatally detected abdominopelvic cysts

Muthee

Bray

2022

Ultrasonography

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Prenatally detected abdominal and pelvic masses are commonly cystic in morphology and usually seen at mid-trimester sonography. Sonography is the favored imaging modality for postnatal evaluation of these lesions in newborns, given the availability, low cost, lack of ionizing radiation, lack of sedation, and high spatial resolution in small patients. The differential diagnosis of abdominopelvic cystic masses in the newborn is broad given that they can arise from many organs and may have overlapping features on imaging. This article illustrates an approach to the postnatal sonographic evaluation of prenatally detected cystic abdominal and pelvic masses based on their anatomic location as well as distinctive sonographic characteristics, which can aid in accurate diagnosis and guide appropriate management.

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“…The complications can be prevented by early postnatal diagnosis and surgical resection. Surgical mortality rate is about 10% [19].…”

Section: Choledochal Cystsmentioning

confidence: 99%

“…Even after birth, they are asymptomatic and complications like infections and hemorrhage rarely occur. In approximately 30% of cases, hepatic cysts are associated with polycystic renal disease [19].…”

Section: Hepatic Cystsmentioning

confidence: 99%

Congenital Abdominal Anomalies

Pleș¹,

Lesnic²

2018

Congenital Anomalies - From the Embryo to the Neonate

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Introduction: Abdominal anomalies that appear during intrauterine life are complex due to many organs that are affected. In cases, the ultrasound appearance is a cystic image with different content and the differential diagnosis is often difficult. Body-research methods: the organs affected by abdominal congenital anomalies involve the gastroin testinal tract (stomach, duodenum, small bowel or colon, and gall bladder), the kidney and urinary tract, the peritoneal cavity (ascites), suprarenal glands, and tumors of the reproductive system (especially the ovaries). In order to identify the affected structures, it is mandatory to know the normal aspect of the abdominal content at different gesta tional ages. The diagnosis may be very difficult, but its accuracy is important, considering the need of further counseling the couple. In minor conditions, without chromosomal anomalies or associations, the outcome is usually good, and there are even possibilities of in utero treatment. In severe conditions, with poor outcome, the couple can choose to terminate the pregnancy, after counseling is provided. Conclusion: abdominal congenital anomalies are common findings in ultrasound screenings for anomalies in all the trimes ters of pregnancy and their recognition is important for subsequent management.

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Outcomes associated with fetal hepatobiliary cysts: systematic review and meta‐analysis

Cited by 9 publications

References 40 publications

Congenital hepatic cyst: Eleven case reports

Congenital hepatic cyst: Eleven case reports

Approach to the postnatal sonographic evaluation of prenatally detected abdominopelvic cysts

Congenital Abdominal Anomalies

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