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Laparoscopic Resection of Solitary Congenital Liver Cyst in a Neonate

Saxena, Amulya K. MD; van Tuil, Cornelia MD

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques: April 2006 - Volume 16 - Issue 2 - p 99-101
Case Reports
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Solitary congenital liver cysts are a rare finding and present a challenge in the diagnosis. Routine prenatal ultrasounds confirmed the presence of an isolated cystic mass in the upper abdominal cavity of a fetus during the third trimester of gestation. Ultrasound examination performed after birth confirmed the presence of a floating cyst in the upper abdomen. Laparoscopy was performed on the 12th day to confirm the diagnosis using a 2.7 mm scope and instruments. Using a monopolar hooked cautery, the cyst was resected free from the liver surface without any complication. The postoperative course was uneventful. Histopathologic analysis demonstrated a true liver cyst with a mesothelial lining and hepatic residues. To our knowledge, this is the first case reported in literature where a solitary liver cyst was resected using minimal invasive techniques in a newborn.

Pediatric Surgical University Medical Center, Münster, Germany

Reprints: Cornelia van Tuil, MD, Klinik für Kinder und Neugeborenenchirurgie, Westfälische-Wilhelms Universität, Albert Schweitzer Strasse 33, Münster D-48129, Germany (e-mail: vantuil@gmx.net).

Received for publication April 5, 2005; accepted December 13, 2005

© 2006 Lippincott Williams & Wilkins, Inc.