Alcohol sclerosis of a giant liver cyst following failed deroofings

Karam, Adib R.; Connolly, C E; Fulwadhva, Urvi P; Hussain, Sarwat

doi:10.3941/jrcr.v5i2.634

Cited by 13 publications

(24 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Generally, the recrudescence of symptoms was determined in 16 patients (23%), namely all the patients in whom a cyst with the diameter exceeding 50% as compared to the initial size was imaged during observation. These values are slightly greater than those determined in the works describing the methods in which the obliterating medium was ethyl alcohol ( 4 , 5 , 12 , 13 , 17 ) . On the other hand, the adoption of various assessment criteria in these studies does not enable one to draw clear conclusions.…”

Section: Discussioncontrasting

confidence: 59%

See 1 more Smart Citation

Ocena przydatności drenażu przezskórnego objawowych torbieli wątroby połączonego z próbą obliteracji

et al. 2016

View full text Add to dashboard Cite

AimThe goal of the paper was to evaluate the procedure of percutaneous drainage of symptomatic hepatic cysts under the transabdominal ultrasound control combined with obliteration.Material and methodWithin the period from 2005 to 2015, 70 patients diagnosed with a simple hepatic cyst of symptomatic nature were subject to hospitalization and treated at the 2nd General, Gastroenterological and Cancer Surgery of the Alimentary System Center and Clinics of the Medical University of Lublin. All the patients subject to evaluation were qualified to percutaneous drainage under an ultrasound control. The drainage utilized typical sets of drains with the diameter of at least 9 F, most often of pigtail type. The fluid aspirated form the cyst was dispatched for complex laboratory testing. Further, a 10% sodium chloride solution was administered to the cyst through the drain, in the volume depending on the previous size of the cyst and the patient's reaction.ResultsPatients reported for a re-visit within the period from 3 to 9 months following the procedure. Complete obliteration of the cyst was confirmed only in 8 patients (11%). Cyst recurrence was reported in cases when during the ultrasound evaluation, the diameter of the cyst following aspiration and obliteration enlarged to over 75% of the initial dimension. In this group, in 10 out of 12 examined (83%) there was a relapse of the previously observed ailments. Among patients, who has a cyst imaged within the period of observation, which had the diameter from 50% to 75% of the previous size, only in 6 cases (37.5%) the initial symptoms relapsed.ConclusionsThe utilization of a drainage and obliteration enables one to achieve the acceptable result of the therapy as well as significant decrease in the number of previously reported ailments and symptoms described.

show abstract

Section: Discussioncontrasting

confidence: 59%

“…Symptoms almost never occur in the case of lesions below the size of 5 cm. An enlarging cyst may be the reason for hepatomegaly, local integument projection, the compression of bile ducts or even acute abdominal symptoms related to hemorrhage into the cyst or its rupture ( 1 , 2 , 4 ) .…”

Section: Introductionmentioning

confidence: 99%

Ocena przydatności drenażu przezskórnego objawowych torbieli wątroby połączonego z próbą obliteracji

et al. 2016

View full text Add to dashboard Cite

show abstract

“… 1 This occurs in 15–16% of patients with HCs. 6 Symptoms are nonspecific and may include abdominal pain, early satiety, nausea, or vomiting. 3 Patients may have a palpable mass or hepatomegaly on physical exam.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…A sclerosing agent, such as dehydrated alcohol or a tetracycline, is injected into the cystic cavity after complete aspiration of the contents. 6 It has been well documented as a simple and safe procedure. A multicenter study of 86 patients with HC greater than 5 cm found aspiration sclerotherapy to be highly efficacious.…”

Section: Managementmentioning

confidence: 99%

Differentiating Cystic Liver Lesions: A Review of Imaging Modalities, Diagnosis and Management

Mavilia¹,

Pakala²,

Molina³

et al. 2018

Journal of Clinical and Translational Hepatology

View full text Add to dashboard Cite

Hepatic cysts (HCs) are frequently discovered incidentally on abdominal imaging. The prevalence of HCs has been reported as high as 15–18% in the United States. Although most cysts are benign, some are malignant or premalignant. It is important to diagnose cystic lesions in order to properly manage them. Imaging with conventional ultrasound, computed tomography, magnetic resonance imaging, or contrast-enhanced ultrasound can be used to further characterize and diagnose HCs. Ultrasound is typically the first-line imaging modality, whereas more advanced imaging can help narrow down the specific lesion. Contrast-enhanced ultrasound is a newer modality, recently approved in the United States, which offers non-invasive evaluation in real-time. The first step in diagnosis is stratifying risk by differentiating simple and complex cysts. There are several features that can help identify HCs, including septae, mural consistency, calcifications, and quality of cystic fluid. Simple cysts are mainly congenital cysts, but also occur in polycystic liver disease. Complex cysts include mucinous neoplasms, echinococcal cysts, hemorrhagic cysts, cystic hepatocellular carcinoma and other rare lesions. Treatment is indicated in symptomatic cysts or those suspicious for malignant or premalignant features. Treatment modalities include fenestration, aspiration sclerotherapy, or surgical resection.

show abstract

“…However, these agents can cause undesired adverse effects (AEs) such as abdominal pain, high fever, and alcoholic intoxication . In addition, fluid re‐accumulation after sclerotherapy using ethanol or minocycline has been reported . Therefore, identification of novel sclerosing agents other than ethanol and minocycline is desired.…”

Section: Introductionmentioning

confidence: 99%

Ultrasound‐guided microfoam sclerotherapy with polidocanol for symptomatic giant hepatic cyst: Initial experience

Eso

Furuta

Takai

et al. 2018

Hepatology Research

View full text Add to dashboard Cite

show abstract

Alcohol sclerosis of a giant liver cyst following failed deroofings

Abstract: Percutaneous alcohol sclerotherapy for simple liver cysts is an established and safe procedure. We report alcohol ablation of a very large (5.5 liters) liver cyst that had failed laparoscopic deroofing procedures twice. The cyst responded to multisession alcohol sclerotherapy.

Cited by 13 publications

References 5 publications

Ocena przydatności drenażu przezskórnego objawowych torbieli wątroby połączonego z próbą obliteracji

Ocena przydatności drenażu przezskórnego objawowych torbieli wątroby połączonego z próbą obliteracji

Differentiating Cystic Liver Lesions: A Review of Imaging Modalities, Diagnosis and Management

Ultrasound‐guided microfoam sclerotherapy with polidocanol for symptomatic giant hepatic cyst: Initial experience

Contact Info

Product

Resources

About