Pediatric Radiology

, 39:1091 | Cite as

Symptomatic hepatic cyst in a child: treatment with single-shot injection of tetracycline hydrochloride

  • Giancarlo Fabrizzi
  • Cecilia LanzaEmail author
  • Valeria Bolli
  • Giovanni Pieroni
Case Report


The prevalence of hepatic cysts is 0.1% to 0.5% based on autopsy studies, and 2.5% based on US examinations. Percutaneous therapies are a new alternative to surgery. They include simple percutaneous aspiration, catheter drainage alone, and catheter drainage with sclerotherapy. We present an 11-year-old boy admitted to hospital because of abdominal pain. A diagnosis of simple hepatic cyst was made, which was treated with aspiration and tetracycline hydrochloride solution (5%) injection into the cystic cavity. Complete regression was seen on US and MRI examination at 3 months, with total collapse and deflation of the cyst. The cyst regressed totally, leaving a hyperechoic linear scar on US examination at 1 year. On the basis of the clinical and imaging results obtained, percutaneous sclerotherapy of hepatic cysts can be recommended as the treatment of choice and as a valid alternative to laparoscopy in children.


Liver US Sclerotherapy Child 


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Giancarlo Fabrizzi
    • 1
  • Cecilia Lanza
    • 1
    Email author
  • Valeria Bolli
    • 1
  • Giovanni Pieroni
    • 1
  1. 1.Servizio di Radiologia Generale e PediatricaAzienda Ospedaliero-Universitaria Ospedali RiunitiAnconaItaly

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