Erschienen in:
01.10.2009 | Case Report
Symptomatic hepatic cyst in a child: treatment with single-shot injection of tetracycline hydrochloride
verfasst von:
Giancarlo Fabrizzi, Cecilia Lanza, Valeria Bolli, Giovanni Pieroni
Erschienen in:
Pediatric Radiology
|
Ausgabe 10/2009
Einloggen, um Zugang zu erhalten
Abstract
The prevalence of hepatic cysts is 0.1% to 0.5% based on autopsy studies, and 2.5% based on US examinations. Percutaneous therapies are a new alternative to surgery. They include simple percutaneous aspiration, catheter drainage alone, and catheter drainage with sclerotherapy. We present an 11-year-old boy admitted to hospital because of abdominal pain. A diagnosis of simple hepatic cyst was made, which was treated with aspiration and tetracycline hydrochloride solution (5%) injection into the cystic cavity. Complete regression was seen on US and MRI examination at 3 months, with total collapse and deflation of the cyst. The cyst regressed totally, leaving a hyperechoic linear scar on US examination at 1 year. On the basis of the clinical and imaging results obtained, percutaneous sclerotherapy of hepatic cysts can be recommended as the treatment of choice and as a valid alternative to laparoscopy in children.