Laparoscopic deroofing of a ruptured hepatic cyst presenting as an acute abdomen

Abstract

The rupture of a nonparasitic hepatic cyst is a rare complication for which there is no optimal treatment strategy yet. Laparoscopic deroofing is the standard approach for the elective treatment of symptomatic NHCs but it has seldom been described as an option for a ruptured hepatic cyst. The authors report a case of a male patient presenting to the emergency room with an acute abdomen caused by the rupture of a hepatic cyst. The patient was successfully treated by urgent laparoscopic deroofing of the cyst. Laparoscopic surgery can be a valid option for treating urgent cases presenting the same efficacy and less morbidity than open surgery.

Traumatic rupture of a non-parasitic simple hepatic cyst presenting as an acute surgical abdomen: Case report

“…Increased utilization of diagnostic imaging methods, such as ultrasonography and CT, has enabled the identification of increasing numbers of hepatic cysts in the general population [2]. These cysts are found more frequently in women than in men, at a ratio of 3:1 [4,6]. Although they are usually asymptomatic, they can produce symptoms, depending on their size, anatomic location, or presence of complications.…”

“…In contrast, ruptures of non-parasitic simple hepatic cysts are rare and can be spontaneous or caused by infection, trauma, or iatrogenic injury [1]. Only 21 English publications that describe ruptures of non-parasitic simple hepatic cysts were published in PubMed from 1974 to 2019 [1,[3], [4], [5], [6], [7], [8], [9], [10], [11],[13], [14], [15], [16], [17], [18], [19], [20], [21], [22], [23]] (Table 1). Traumatic rupture of a non-parasitic simple hepatic cyst, as occurred in our patient, is very unusual.…”

“…Moreover, placement of an omental transposition flap after deroofing can reduce recurrence rates. Laparoscopic management has been shown to be a new, less-invasive therapeutic option [[2], [3], [4], [5]]. Compared with open deroofing, laparoscopic deroofing is associated with shorter hospital stay, more rapid return to normal activities, and lower morbidity rates.…”

“…Non-parasitic simple hepatic cyst is a very common type of benign liver disease, occurring in approximately 1–5% of individuals in the general population [[1], [2], [3], [4]]. Recent advances in imaging techniques have resulted in increased incidental detection of these cysts by abdominal ultrasonography or computed tomography (CT) [1,2].…”

Traumatic rupture of a hemorrhagic hepatic cyst: a case presentation and literature review

“…Simple cysts of the liver are common and found in 1% of the population. On the other hand, hemorrhagic hepatic cysts are found in 1–5% of the population, are more common in women (3:1) >60 years old, and are most commonly asymptomatic [ 1 , 2 ].…”