Evaluation of Hepatic Cystic Lesion in Children

Abstract

Hepatic cysts are very rare in children and most of them are simple and solitary, asymptomatic, benign, and do notrequire intervention. It is usually found as a mere coincidence on abdominal imaging techniques, such asultrasonography (USG), computed tomography (CT), and magnetic resonance imaging (MRI). The incidentaldiagnosis of cystic lesions of the liver increased day by day due to increased use and sensitivity of abdominalimaging. Predominantly simple cysts are most common and diagnosed by characteristic Ultrasonogram findings.Serodiagnostic tests and contrast-enhanced ultrasound (CEUS) are useful when USG, CT, and MRI show ambiguousfindings in differentiating other cystic lesions (complicated cysts, echinococcosis, and cyst adenoma/cystadenocarcinoma) and reduce the need for invasive procedures. Although most cysts are benign, some are malignant orpremalignant, so early detection of cystic lesions is important to manage them properly. Treatment is needed insymptomatic or complex cysts or those having malignant or premalignant features. This article outlines the majortypes of hepatic cysts, highlights clinical features that may aid in their appropriate diagnosis, and discussestherapeutic options. Bangabandhu Sheikh Mujib Med. Coll. J. 2022;1(1):37-45