title: A rare large symptomatic simple hepatic cyst.
abstract: A fit and well 4-year-old girl presented with a 1-year history of abdominal distension, pain and vomiting with signs of non-shifting dullness on the right side of the abdomen. An abdominal CT revealed a 19 cm epigastric cyst that did not appear to connect to any solid organ and was therefore thought to represent a mesenteric cyst. However, laparotomy revealed that the cyst was arising from the liver. The cyst was resected and subsequent histology revealed a simple hepatic cyst. The patient has been well post-operation. The case represents the largest described simple hepatic cyst in the 0-16 years paediatric age group in Europe to date. We outline the epidemiology, embryology, key investigations and management options for these lesions.
authors.affiliation: Department of Paediatrics, John Radcliffe Hospital, Oxford, UK. dr.rupjanibanerjee@yahoo.co.in
authors.forename: Rupjani
authors.initials: R
authors.lastname: Banerjee
authors.forename: Kokila
authors.initials: K
authors.lastname: Lakhoo
mesh_terms: D002675:Child, Preschool; D003560:Cysts / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000175:diagnosis* / Q000601:surgery; D014057:Tomography, X-Ray Computed