The Teaching Point

Very large simple liver cysts occur in children. They can be complicated by peripheral calcification and internal hemorrhage. The diagnosis can be difficult in these complex cases with a lengthy differential as described above.






Bookmark and Share

From the manuscript

An unusual congenital hepatic cyst in an adolescent and review of differential diagnoses of complex liver cysts

Free full text article: An unusual congenital hepatic cyst in an adolescent and review of differential diagnoses of complex liver cysts

Abstract
The diagnosis of a simple hepatic cyst is not difficult, but diagnostic confusion occurs when atypical features such as intracystic debris or extremely large size are present. In children, simple liver cysts are described as small, asymptomatic, and rarely hemorrhagic. We report an adolescent male presenting with an unusually large hepatic cyst that did not have typical imaging characteristics. The imaging findings and histology are displayed along with the differential diagnoses of complex liver cysts.






References



1. Blonski WC, Cambell MS, Faust T, Metz DC. Successful aspiration and ethanol sclerosis of a large symptomatic, simple liver cyst: case presentation and review of the literature. World Journal of Gastroenterology 2006 May 14; 12(18): 2949-2954.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


2. Mortele KJ, Ros PR. Cystic focal liver lesions in the adult: differential CT and MR imaging features. Radiographics 2001;21:895-910
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


3. Rogers TN, Woodley H, Ramsden W, Wyatt JI, Stringer MD. Solitary liver cysts in children: not always so simple. Journal of Pediatric Surgery 2007 Feb; 42(1):333-9.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


4. Ratan SK, Grover SB, Kulsreshtha R, Puri V. Post-traumatic hepatic cyst. Indian Pediatrics 1999:36; 1048-1051.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


5. Poggi G, Gatti C, Delmonte A, Teragni C, Bernardo G. Spontaneous rupture of non-parasitic hepatic cyst. International Journal of Clinical Practice 2006 Jan; 60(1): 99-103.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


6. Murphy BJ, Casillas J, Ros PR, Morillo G, Albores-Saavedra J, Rolfes DB. The CT appearance of cystic masses of the liver. Radiographics 1989 March; 9(2): 307-22.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


7. Kanzer GK, Weinreb JC. Magnetic resonance imaging of diseases of the liver and biliary system. Radiologic Clinics of North America 1991; 29: 1259-1284.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


8. Akiyama T, Inamori M, Saito S, Takahashi H, Yoneda M, Fujita K, Fujisawa T, Abe Y, Hirikoshi H, Kubota K, Ueda M, Tanaka K, Togo S, Ueno N, Shimada H, Nakajima A. Levovist ultrasonography imaging in intracystic hemorrhage of simple liver cyst. World Journal of Gaestroenterology 2008 February 7; 14(5): 805-807
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


9. Hagiwara A, Inoue Y, Shutoh T, Kinoshita H, Wakasa K. Haemorrhagic hepatic cyst: a differential diagnosis of cystic tumour. British Journal of Radiology 2001; 74: 270-272
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


10. Vilgrain V, Silbermann O, Benhamou JP, Nahum H. MR imaging in intracystic hemorrhage of simple hepatic cysts. Abdominal Imaginging 1993; 18(2): 164-7.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


11. Ishikawa H, Uchida S, Yokokura Y, Iwasaki Y, Horiuchi H, Hiraki M, Kinoshita H, Shirouzu K. Nonparasitic solitary huge liver cysts causing intracystic hemorrhage or obstructive jaundice. Journal of Hepatobiliary Pancreatic Surgury 2002; 9(6): 764-8.12
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


13. Khabiri AR, Bagheri F, Assmar M, Siavashi MR. Analysis of specific IgE and IgG subclass antibodies for diagnosis of Echinococcus granulosus. Parasite Immunology 2006 Aug; 28(8): 357-62.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


14. Kenji O; Fukumi NU; Nobuhiro K; Shunsuke S; Takao O and Nobutaka U. Hepatic Cystic Echinococcosis with Specific CT Findings. Internal Medicine 2008; 47: 803-805, 2008.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


16. Dehner LP, Ewing SL, Sumner HW. Infantile mesenchymal hamartoma of the liver. histologic and ultrastructural observations Archives of Pathology 1975;99:379-382.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


17. Chang JH, Jin SY, Park C, Park YN, Jang JJ, Park CK, Suh YL, Yu E, Kang DY, Bae HI. Mesenchymal hamartomas of the liver: comparison of clinicopathologic features between cystic and solid forms. Journal of Korean Medical Science 2006; 21: 63-8.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


18. Kim SH, Kim WS, Cheon JE, Yoon HK, Kang GH, Kim IO, Yeon KM. Radiological spectrum of hepatic mesenchymal hamartoma in children. Korean Journal of Radiology: 2007 Dec; 8(6): 498-505.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


19. Kim KA, Kim KW, Park SH, Jang SJ, Park MS, Kim PN, Lee MG, Ha HK. Unusual mesenchymal liver tumors in adults: radiologic-pathologic correlation. American Journal of Roentgenology 2006; 187: W481-W489.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


20. Levy AD, Murakata LA, Abbott RM, Rohrmann CA. Benign Tumors and Tumorlike Lesions of the Gallbladder and Extrahepatic Bile Ducts: Radiologic-Pathologic Correlation Radiographics. 2002; 22: 387-413
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


21. Lewin M, Mourra N, Honigman I, Flejou, Parc R, Arrive L, Tubiana JM. Assessment of MRI and MRCP in diagnosis of biliary cystadenoma and cystadenocarcinoma. European Radioliolgy (2006); 16: 407413
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine


22. Yu F, Chen JH, Yang KC, Wu CC, Chou YY. Hepatobiliary Cystadenoma: a Report of Two Cases. Pancreatic Diseases International 2007; 6: 101-103.
Find similar topics on Read this article on PubMed :: Find similar articles on Google scholarScholar :: Search for similar topics with the Radiology specific search engine Radiology search engine




Search for articles with similar topics:

Keyword search:

1. simple cyst

2. complex cyst

3. liver cyst

4. hemorrhagic simple cyst

5. imaging of a simple cyst

6. hydatid cyst

7. entamoebic cyst

8. entamoeba cyst

9. pyogenic abscess

10. cystadenoma


This article belongs to the Pediatric section.


Search for more in the Internet

Peer-reviewed Radiology Search




Discuss it!

Bookmark and Share




© Journal of Radiology Case Reports - The Interactive Radiology Journal
Affiliated journal of Radiolopolis - The International Radiology Community


The Journal of Radiology Case Reports