Hyperbilirubinemia associated with a cystic abdominal mass in a 6-week-old girl : case report

• Published in: Pediatric surgery international Vol. 14; no. 3; pp. 224 - 226
• Main Authors: SCHLEEF, J, OLESZUK-RASCHKE, K, MORCATE, J.-J, STEINAU, G, WILLITAL, G.-H
• Format: Journal Article
• Language: English
• Published: Heidelberg Springer 01.12.1998; Berlin Springer Nature B.V
• Subjects: Abdomen - diagnostic imaging; Biological and medical sciences; Cysts - diagnostic imaging; Diagnosis, Differential; Female; Humans; Hyperbilirubinemia - complications; Infant, Newborn; Medical sciences; Stomach - abnormalities; Stomach - diagnostic imaging; Stomach, duodenum, intestine, rectum, anus; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the digestive system; Ultrasonography; Bilirubin; Association; Hyperbilirubinemia; Surgery; Cyst; Female; Tumor; Endoscopy; Diagnosis; Gastric disease; Sonography; Human; Stomach; Radiodiagnosis; Duplication; Laparoscopy; Abdomen; Case study; Treatment; Newborn; Exeresis; Abdominal disease; Echography; Digestive diseases; Medical imagery; Computerized axial tomography; Laparotomy
• ISSN: 0179-0358; 1437-9813
• DOI: 10.1007/s003830050708

Abdominal cysts in girls are frequently observed by abdominal ultrasound (US) and are usually ovarian. In this case a cystic structure located in the right abdomen was seen in a female newborn without symptoms and was initially described as a possible ovarian cyst. Frequent US examinations showed an increase in volume and diameter, and temporary, recurring episodes of hyperbilirubinemia were observed. The US scans showed no relationship to the biliary tree. During a diagnostic laparoscopy, a cystic structure attached to the pyloric region was seen. A laparotomy revealed a cystic duplication of the stomach, which could be resected completely. The finding is discussed emphasizing the importance of clinical findings and diagnostic methods in the diagnosis and management of abdominal cystic masses in females.