AI Article Synopsis
- An 18-day-old female neonate experienced abdominal distention and bilious vomiting for 5 days, leading to a clinical examination that revealed hepatomegaly and a mass.
- Imaging studies, including ultrasound and contrast CT, indicated the presence of a large cyst associated with the falciform ligament and a dilated portal venous system.
- After diagnosing the condition as a falciform ligament abscess with portal pyemia, surgical excision was performed, and the child remained symptom-free after a one-year follow-up, marking a novel case in medical literature.
Article Abstract
An 18-day-old female neonate presented with abdominal distention and bilious vomiting for 5 days. Abdominal examination showed hepatomegaly and a mass in the right hypochondrium. Ultrasound showed an extrahepatic cyst with internal echoes and dilated intrahepatic radicals. A contrast computer tomography showed a large cyst arising from the falciform ligament, extending into the liver parenchyma and a dilated portal venous system. Diagnosis of falciform ligament abscess with portal pyemia was made. Excision of the falciform ligament was done. After a follow up of 1 year, the child remains asymptomatic. To our knowledge, a falciform ligament abscess causing intrahepatic portal pyemia in a newborn has not been previously been described.
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| http://dx.doi.org/10.1016/j.jpedsurg.2006.04.011 | DOI Listing |
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