Choledochal Cyst vs. Hemangioendothelioma of the Liver
Choledochal Cyst vs. Hemangioendothelioma of the Liver Left picture: The diagnosis of this newborn is an infantile type of a choledochal cyst, the clinical presentations of which are hepatomegaly, icterus and acholic stools. The additional picture at the bottom shows the operative findings of a teenager with a choledochal cyst; in this case the clinical presentation was that of an adult type of choledochal cyst with intermittent icterus, vague abdominal pain and palpable cystic upper abdominal tumor.
Right picture: This young infant has a hemangioendothelioma which is a relatively benign liver tumor and shows a difficult histological differentiation from hamartoma or hemangiosarcoma. The liver preparation of the hemangioendothelioma in the picture at the bottom shows typical multiple small nodes. A too large belly is visible in the newborn and the young infant. In both cases the navel lies far away from the process of the sternum.
Left picture: The volume of the upper abdomen is homogeneously increased and the palpable mass is firm. There is a moderate icterus of the newborn, and the stools are only poorly colored.
Right picture: The mass which is firm on palpation protrudes distinctly in the whole upper abdomen. Neither icterus and nor acholic stools are present.
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