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Hyperbilirubinemia associated with a cystic abdominal mass in a 6-week-old girl: case report
Authors:Schleef  J.  Oleszuk-Raschke  K.  Morcate  J.-J.  Steinau  G.  Willital  G.-H.
Affiliation:(1) Pediatric Surgical Clinic of the W.W. University of Münster Albert-Schweitzer-Strasse 33, D-48155 Münster, Germany, DE;(2) Department of Pediatric Radiology, University of Münster, D-48155 Münster, Germany, DE;(3) Department of Surgery, RWTH Aachen, Germany, DE
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. Accepted: 25 June 1997
Keywords:Cystic abdominal mass  Diagnostic  Ultrasound  Laparoscopy  Gastric duplication
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