Du CX, Lu CG, Li W, Tang WB. Congenital hepatic cyst: Eleven case reports. World J Clin Cases 2022; 10(25): 9112-9120 [PMID: 36157675 DOI: 10.12998/wjcc.v10.i25.9112]
Corresponding Author of This Article
Wei-Bing Tang, MD, PhD, Full Professor, Department of Pediatric Surgery, Children’s Hospital of Nanjing Medical University, No. 72 Guangzhou Road, Nanjing 210008, Jiangsu Province, China. twbcn@njmu.edu.cn
Research Domain of This Article
Surgery
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 6, 2022; 10(25): 9112-9120 Published online Sep 6, 2022. doi: 10.12998/wjcc.v10.i25.9112
Congenital hepatic cyst: Eleven case reports
Chun-Xia Du, Chang-Gui Lu, Wei Li, Wei-Bing Tang
Chun-Xia Du, Chang-Gui Lu, Wei Li, Department of Paediatric Surgery, Children’s Hospital of Nanjing Medical University, Nanjing 210008, Jiangsu Province, China
Wei-Bing Tang, Department of Pediatric Surgery, Children’s Hospital of Nanjing Medical University, Nanjing 210008, Jiangsu Province, China
Author contributions: Du CX and Lu CG contributed to manuscript writing and editing and data collection; Li W contributed to data analysis; Tang WB contributed to conceptualization and supervision; all authors have read and approved the final manuscript.
Informed consent statement: Informed written consent was obtained from the patients for the publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Wei-Bing Tang, MD, PhD, Full Professor, Department of Pediatric Surgery, Children’s Hospital of Nanjing Medical University, No. 72 Guangzhou Road, Nanjing 210008, Jiangsu Province, China. twbcn@njmu.edu.cn
Received: April 11, 2022 Peer-review started: April 11, 2022 First decision: June 7, 2022 Revised: June 20, 2022 Accepted: July 25, 2022 Article in press: July 25, 2022 Published online: September 6, 2022
Abstract
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.
Core Tip: Liver cysts in infants often pose significant diagnostic challenges, and paediatric surgeons should be aware of the characteristics of liver cysts to ensure appropriate treatment. Here, we report our experience with congenital hepatic cysts in infants, including a case of solitary intrahepatic biliary cyst, and review the recent literature.
