Multiple Giant Liver Cysts in a Nepalese Lad
Background. While evaluating a child with multicystic liver pathology, both the congenital and acquired etiologies need to be considered. While typicality of findings on abdominal imaging makes the diagnosis of cystic echinococcosis relatively easy, choosing the appropriate line of management is equ...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2020/6196252 |
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| author | Ashish Lal Shrestha Shova Banstola Paudel Saurav Krishna Malla |
| author_facet | Ashish Lal Shrestha Shova Banstola Paudel Saurav Krishna Malla |
| author_sort | Ashish Lal Shrestha |
| collection | DOAJ |
| description | Background. While evaluating a child with multicystic liver pathology, both the congenital and acquired etiologies need to be considered. While typicality of findings on abdominal imaging makes the diagnosis of cystic echinococcosis relatively easy, choosing the appropriate line of management is equally crucial. Case Presentation. An 8-year-old previously healthy lad presented to the office with progressive upper abdominal fullness and pain for a year. Blood workup was normal. CT imaging made a diagnosis of multicystic giant hepatic hydatidosis. Treatment consisting of oral albendazole combined with surgical excision resulted in a fruitful outcome. To the best of our knowledge, this probably represents the first case of multiple giant hepatic hydatidosis at such a young age being reported from Nepal. Conclusion. Childhood liver cysts are uncommon. Considering the endemicity, echinococcal etiology needs consideration. Surgical ablation is required for large cysts, and the mode of management is dictated by the size and location. |
| format | Article |
| id | doaj-art-b22003b9e9ac4c24aeca4057b78644d9 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-b22003b9e9ac4c24aeca4057b78644d92025-02-03T01:01:27ZengWileyCase Reports in Pediatrics2090-68032090-68112020-01-01202010.1155/2020/61962526196252Multiple Giant Liver Cysts in a Nepalese LadAshish Lal Shrestha0Shova Banstola Paudel1Saurav Krishna Malla2Department of Pediatric Surgery, Grande International Hospital, Dhapasi, Kathmandu, NepalDepartment of Pathology, Grande International Hospital, Dhapasi, Kathmandu, NepalDepartment of Radio Diagnosis, Grande International Hospital, Dhapasi, Kathmandu, NepalBackground. While evaluating a child with multicystic liver pathology, both the congenital and acquired etiologies need to be considered. While typicality of findings on abdominal imaging makes the diagnosis of cystic echinococcosis relatively easy, choosing the appropriate line of management is equally crucial. Case Presentation. An 8-year-old previously healthy lad presented to the office with progressive upper abdominal fullness and pain for a year. Blood workup was normal. CT imaging made a diagnosis of multicystic giant hepatic hydatidosis. Treatment consisting of oral albendazole combined with surgical excision resulted in a fruitful outcome. To the best of our knowledge, this probably represents the first case of multiple giant hepatic hydatidosis at such a young age being reported from Nepal. Conclusion. Childhood liver cysts are uncommon. Considering the endemicity, echinococcal etiology needs consideration. Surgical ablation is required for large cysts, and the mode of management is dictated by the size and location.http://dx.doi.org/10.1155/2020/6196252 |
| spellingShingle | Ashish Lal Shrestha Shova Banstola Paudel Saurav Krishna Malla Multiple Giant Liver Cysts in a Nepalese Lad Case Reports in Pediatrics |
| title | Multiple Giant Liver Cysts in a Nepalese Lad |
| title_full | Multiple Giant Liver Cysts in a Nepalese Lad |
| title_fullStr | Multiple Giant Liver Cysts in a Nepalese Lad |
| title_full_unstemmed | Multiple Giant Liver Cysts in a Nepalese Lad |
| title_short | Multiple Giant Liver Cysts in a Nepalese Lad |
| title_sort | multiple giant liver cysts in a nepalese lad |
| url | http://dx.doi.org/10.1155/2020/6196252 |
| work_keys_str_mv | AT ashishlalshrestha multiplegiantlivercystsinanepaleselad AT shovabanstolapaudel multiplegiantlivercystsinanepaleselad AT sauravkrishnamalla multiplegiantlivercystsinanepaleselad |