Symptomatic hepatic cyst in a child: treatment with single-shot injection of tetracycline hydrochloride.
The prevalence of hepatic cysts is 0.1% to 0.5% based on autopsy studies, and 2.5% based on US examinations. Percutaneous therapies are a new alternative to surgery. They include simple percutaneous aspiration, catheter drainage alone, and catheter drainage with sclerotherapy. We present an 11-year-old boy admitted to hospital because of abdominal pain. A diagnosis of simple hepatic cyst was made, which was treated with aspiration and tetracycline hydrochloride solution (5%) injection into the cystic cavity. Complete regression was seen on US and MRI examination at 3 months, with total collapse and deflation of the cyst. The cyst regressed totally, leaving a hyperechoic linear scar on US examination at 1 year. On the basis of the clinical and imaging results obtained, percutaneous sclerotherapy of hepatic cysts can be recommended as the treatment of choice and as a valid alternative to laparoscopy in children.
Fabrizzi
Giancarlo
G
Servizio di Radiologia Generale e Pediatrica, Azienda Ospedaliero-Universitaria Ospedali Riuniti, Ancona 60123, Italy.
Lanza
Cecilia
C
Bolli
Valeria
V
Pieroni
Giovanni
G
D002648:Child; D003560:Cysts / Q000175:diagnosis* / Q000628:therapy*; D006801:Humans; D015552:Injections, Intralesional; D008107:Liver Diseases / Q000175:diagnosis* / Q000628:therapy*; D008297:Male; D012597:Sclerosing Solutions / Q000008:administration & dosage*; D015911:Sclerotherapy / Q000379:methods*; D013752:Tetracycline / Q000008:administration & dosage*; D016896:Treatment Outcome
D012597:Sclerosing Solutions; D013752:Tetracycline