Baunin C, Mechinaud-Puget C, Fajadet P, Vaysse P, Guitard J, Moscovici J, Visentin M, Voigt J J
Service de Radiologie Pédiatrique, Hôpital Purpan, Toulouse.
Chir Pediatr. 1990;31(3):160-3.
Two cases of prenatal detection of congenital biliary cysts are reported. Prenatal and postnatal ultrasonography demonstrate a solitary sonolucent cystic lesion. The differential diagnosis in fetus and infant includes any abdominal cystic lesions: ovarian cyst, duplication cyst, cystic lymphangioma, choledochal cyst and other congenital cysts of the liver. In opposite to the difficulty of diagnosis, the choice for treatment is easy: surgery is the only way to allow histologic diagnosis and to avoid any relapse or complications.
报告了两例先天性胆管囊肿的产前检测病例。产前和产后超声检查均显示出一个孤立的无回声囊性病变。胎儿和婴儿期的鉴别诊断包括任何腹部囊性病变:卵巢囊肿、重复囊肿、囊性淋巴管瘤、胆总管囊肿及其他肝脏先天性囊肿。与诊断困难相反,治疗选择很简单:手术是进行组织学诊断并避免任何复发或并发症的唯一方法。