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作 者:Adem Küçük Shukri Said Mohamed Abdishakur Mohamed Abdi Abdullahi Yusuf Ali
机构地区:[1]Düzce University Faculty of Medicine,Pediatric Surgery Clinic,Düzce 81110,Merkez,Turkey [2]Department of Pediatric Surgery,Somali Mogadishu Training and Research Hospital,Mogadishu 0000000,Somalia
出 处:《World Journal of Clinical Cases》2023年第26期6246-6251,共6页世界临床病例杂志
摘 要:BACKGROUND Congenital hepatic cysts are relatively rare but are now diagnosed earlier and more frequently with a routine prenatal ultrasound.Solitary liver cysts are divided into simple and solitary intrahepatic biliary cysts,depending on the biliary connection.While some solitary liver cysts are symptomatic in childhood,even in newborns,they are often found incidentally in adults.CASE SUMMARY A 3-mo-old female infant was admitted to Mogadishu Somali Training and Research Hospital with recurrent vomiting,respiratory problems,and abdominal bloating complaints.On examination,the abdomen was greatly distended and extremely tight.She had repeated vomiting for 3 d,no stool output,and decreased urine.The abdominal ultrasonography detected a solitary cystic lesion measuring 10 cm×10 cm×14 cm,extending from the liver or right kidney to the pelvis.In the magnetic resonance imaging examination of the patient,a solitary cystic structure of 10 cm×10 cm×14 cm in the right abdomen was observed,extending to the pelvis and possibly originating from the liver.The patient was operated via fenestration after her fluid and electrolytes improved.Oral nutrition was initiated on the 2nd postoperative day,and the drain was removed on the 5th postoperative day.The patient visited the outpatient clinic control 1 mo later with no clinical complaints.CONCLUSION Congenital liver cysts are usually followed without complications.They rarely reach gigantic dimensions and may cause respiratory distress,intestinal obstruction and recurrent vomiting.Surgery can provide quite successful outcomes in the treatment of giant sized simple liver cysts.
关 键 词:Congenital liver cyst Simple liver cyst FENESTRATION PAIN Intestinal obstruction Case report
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