Küçük A, Mohamed SS, Abdi AM, Ali AY. Intestinal obstruction due to giant liver cyst: A case report. World J Clin Cases 2023; 11(26): 6246-6251 [PMID: 37731578 DOI: 10.12998/wjcc.v11.i26.6246]
Corresponding Author of This Article
Adem Küçük, MD, Academic Research, Assistant Professor, Doctor, Düzce University Faculty of Medicine, Pediatric Surgery Clinic, Düzce Üniversitesi Tıp Fakültesi Çocuk Cerrahi Kliniği, Düzce 81110, Merkez, Turkey. ademkucuk81@hotmail.com
Research Domain of This Article
Pediatrics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Sep 16, 2023; 11(26): 6246-6251 Published online Sep 16, 2023. doi: 10.12998/wjcc.v11.i26.6246
Intestinal obstruction due to giant liver cyst: A case report
Adem Küçük, Shukri Said Mohamed, Abdishakur Mohamed Abdi, Abdullahi Yusuf Ali
Adem Küçük, Düzce University Faculty of Medicine, Pediatric Surgery Clinic, Düzce 81110, Merkez, Turkey
Shukri Said Mohamed, Abdishakur Mohamed Abdi, Abdullahi Yusuf Ali, Department of Pediatric Surgery, Somali Mogadishu Training and Research Hospital, Mogadishu 0000000, Somalia
Author contributions: Küçük A took part in the post-op follow-up of the minor surgical procedure, and contributed to the collection of clinical data and writing of the article; Mohamed SS assisted in the surgical process, and contributed to the translation of the article; Abdi AM assisted the patient in post-op follow-up; Ali AY contributed to the translation of the post-op follow-up care; Mohamed SS, Abdi AM, and Ali AY contributed to the data collection.
Informed consent statement: Informed consent was obtained from the legal representative of the patient.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Adem Küçük, MD, Academic Research, Assistant Professor, Doctor, Düzce University Faculty of Medicine, Pediatric Surgery Clinic, Düzce Üniversitesi Tıp Fakültesi Çocuk Cerrahi Kliniği, Düzce 81110, Merkez, Turkey. ademkucuk81@hotmail.com
Received: May 26, 2023 Peer-review started: May 26, 2023 First decision: July 4, 2023 Revised: July 17, 2023 Accepted: August 21, 2023 Article in press: August 21, 2023 Published online: September 16, 2023 Processing time: 104 Days and 18.2 Hours
Abstract
BACKGROUND
Congenital hepatic cysts are relatively rare but are now diagnosed earlier and more frequently with a routine prenatal ultrasound. Solitary liver cysts are divided into simple and solitary intrahepatic biliary cysts, depending on the biliary connection. While some solitary liver cysts are symptomatic in childhood, even in newborns, they are often found incidentally in adults.
CASE SUMMARY
A 3-mo-old female infant was admitted to Mogadishu Somali Training and Research Hospital with recurrent vomiting, respiratory problems, and abdominal bloating complaints. On examination, the abdomen was greatly distended and extremely tight. She had repeated vomiting for 3 d, no stool output, and decreased urine. The abdominal ultrasonography detected a solitary cystic lesion measuring 10 cm × 10 cm × 14 cm, extending from the liver or right kidney to the pelvis. In the magnetic resonance imaging examination of the patient, a solitary cystic structure of 10 cm × 10 cm × 14 cm in the right abdomen was observed, extending to the pelvis and possibly originating from the liver. The patient was operated via fenestration after her fluid and electrolytes improved. Oral nutrition was initiated on the 2nd postoperative day, and the drain was removed on the 5th postoperative day. The patient visited the outpatient clinic control 1 mo later with no clinical complaints.
CONCLUSION
Congenital liver cysts are usually followed without complications. They rarely reach gigantic dimensions and may cause respiratory distress, intestinal obstruction and recurrent vomiting. Surgery can provide quite successful outcomes in the treatment of giant sized simple liver cysts.
Core Tip: Liver simple cysts are a common disease; however, neonatal congenital ones are very rare and are usually followed without complications. Our patient presented with a giant simple liver cyst that caused serious complications. Unfortunately, for some of these patients surgical treatment is not curative, and deaths as a result of ongoing bile leakage are reported. Our patient, who underwent the appropriate surgical procedure, did not experience bile leakage and experienced definitive recovery.
