Sonographic Detection of a Giant Solitary Hepatic Cyst In Utero

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.

show abstract

Congenital hepatic cyst: Prenatal and postnatal imaging findings

Sepúlveda¹,

Sepulveda²,

González

et al. 2020

Ultrasound

View full text Add to dashboard Cite

Introduction Congenital hepatic cyst is a rare hepatobiliary malformation that can present as an asymptomatic, unilocular, upper abdominal cystic mass in the fetus. Cases We report two cases of congenital hepatic cyst in which the diagnosis was made by prenatal ultrasound at 25 and 33 weeks’ gestation. The diagnosis was confirmed postnatally by abdominal ultrasound and radiologic imaging studies. Although the infants remained asymptomatic, laparoscopic excision was performed due to the increasing size of the cyst in both cases. Pathological examination of the resected specimens confirmed a simple cyst in one case and an epidermoid cyst in the other. Conclusions Our cases and those described in the literature demonstrate the usefulness of incidental prenatal detection of congenital hepatic cyst, especially during late pregnancy. Such a diagnosis can allow for proper perinatal surveillance, selection of the route of delivery, and timely postnatal surgical intervention if required.

show abstract

Sonographic Detection of a Giant Solitary Hepatic Cyst In Utero

Cited by 4 publications

References 13 publications

Neonatal mesenchymal hamartoma of liver: An unusual presentation

Neonatal mesenchymal hamartoma of liver: An unusual presentation

Approach to the postnatal sonographic evaluation of prenatally detected abdominopelvic cysts

Congenital hepatic cyst: Prenatal and postnatal imaging findings

Contact Info

Product

Resources

About