Fluid filled mass associated with liver or gallbladder?

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Fluid filled mass associated with liver or gallbladder?

Hello

This is an 11 year old MN DSH that had a 6cm mass noticed on xrays. The mass seemed to be originating from the Rt side of the abdomen and was in close contact with the liver on the V/D and on the lateral the stomach was in between the liver and the mass.

On US the mass is anechoic with hyperechoic flecks and is very closely associated with the liver/gallbladder. I cannot determine if this is part of either structure or just bordering it.

We did see the kidneys and spleen on US.

Any advice would be greatly appreciated. Thanks. Brent

Hello

This is an 11 year old MN DSH that had a 6cm mass noticed on xrays. The mass seemed to be originating from the Rt side of the abdomen and was in close contact with the liver on the V/D and on the lateral the stomach was in between the liver and the mass.

On US the mass is anechoic with hyperechoic flecks and is very closely associated with the liver/gallbladder. I cannot determine if this is part of either structure or just bordering it.

We did see the kidneys and spleen on US.

Any advice would be greatly appreciated. Thanks. Brent

Comments

Pankatz
May 2, 2015 at 1:33 am -

This looks like a large,

This looks like a large, expansile cystadenoma of the left liver lobes to me which could possibly be secondarily infected with the suspended echoes seen. Liver lobectomy would be ideal but not always possible to get it all depending on how invasive it is esp. if involiving part of the right liver near the PH.  But we will see what others say…

Pankatz
May 2, 2015 at 1:33 am -

This looks like a large,

This looks like a large, expansile cystadenoma of the left liver lobes to me which could possibly be secondarily infected with the suspended echoes seen. Liver lobectomy would be ideal but not always possible to get it all depending on how invasive it is esp. if involiving part of the right liver near the PH.  But we will see what others say…

tosullivan
May 2, 2015 at 3:30 am -

Thanks for the input. 
Im

Thanks for the input. 

Im really reluctant to sample it. I think exploratory and possible lobectomy as you suggested is the best idea.

tosullivan
May 2, 2015 at 3:30 am -

Thanks for the input. 
Im

Thanks for the input. 

Im really reluctant to sample it. I think exploratory and possible lobectomy as you suggested is the best idea.

EL
May 2, 2015 at 8:31 am -

Either cystadenoma or liver

Either cystadenoma or liver cyst. There is no wall bordering the cyst but its continuous connection with the liver tissue wthout a capsule separating it… hence it beliongs to the liver. You can drain these things and may help surgery be a little less problematic with reduced size.

EL
May 2, 2015 at 8:31 am -

Either cystadenoma or liver

Either cystadenoma or liver cyst. There is no wall bordering the cyst but its continuous connection with the liver tissue wthout a capsule separating it… hence it beliongs to the liver. You can drain these things and may help surgery be a little less problematic with reduced size.

tosullivan
May 2, 2015 at 11:33 am -

Many thanks!

Many thanks!

tosullivan
May 2, 2015 at 11:33 am -

Many thanks!

Many thanks!

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