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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.

Original publication

DOI

10.1136/bcr-2013-200094

Type

Journal article

Journal

BMJ Case Rep

Publication Date

02/09/2013

Volume

2013

Keywords

Child, Preschool, Cysts, Female, Humans, Liver Diseases, Tomography, X-Ray Computed