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Hyperbilirubinemia associated with a cystic abdominal mass in a 6-week-old girl: case report
J Schleef1, K Oleszuk-Raschke, J J Morcate
1Pediatric Surgical Clinic of the W.W. University of Münster Albert-Schweitzer-Strasse 33, D-48155 Münster, Germany.
Insights
A rare cystic duplication of the stomach was diagnosed in a female newborn presenting with an abdominal cyst. This case highlights the importance of diagnostic methods for abdominal cystic masses in females.
Area of Science:
- Pediatric Surgery
- Diagnostic Imaging
- Gastroenterology
Background:
- Abdominal cysts in female newborns are commonly ovarian.
- Ovarian cysts are frequently diagnosed using abdominal ultrasound (US).
Observation:
- A cystic structure in the right abdomen of a female newborn was initially suspected to be an ovarian cyst.
- Serial US examinations revealed increasing cyst size.
- The patient experienced recurrent hyperbilirubinemia, with US showing no biliary tree involvement.
Findings:
- Diagnostic laparoscopy identified a cystic structure attached to the pyloric region.
- Laparotomy confirmed a cystic duplication of the stomach.
- Complete surgical resection of the gastric duplication was achieved.
Implications:
- This case underscores the need for comprehensive diagnostic evaluation of abdominal cystic masses in female infants.
- It emphasizes considering non-ovarian pathologies, such as gastric duplication, even with initial ovarian cyst suspicion.
- Accurate diagnosis and timely surgical intervention are crucial for favorable outcomes in pediatric abdominal masses.
Abstract:
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.