Percutaneous aspiration and sclerotherapy of a giant simple hepatic cyst causing obstructive jaundice: A case report and review of literature

Abstract

BACKGROUND Giant simple hepatic cysts causing intrahepatic duct dilatation and obstructive jaundice are uncommon. A variety of measures with different clinical efficacies and invasiveness have been developed. Nonsurgical management, such as percutaneous aspiration and sclerotherapy, is often applied. CASE SUMMARY The case is a 39-year-old female with a 5-mo history of cutaneous and scleral icterus, loss of appetite, and dark urine. Lab tests showed jaundice and liver function abnormalities. Imaging revealed a giant simple hepatic cyst obstructing the intrahepatic bile ducts. A combination of percutaneous catheter aspiration and lauromacrogol sclerotherapy was successfully performed and the effects were satisfactory with the size of cyst decreasing from 13.7 cm × 13.1 cm to 3.0 cm × 3.0 cm. Further literature review presented the challenges of managing giant simple hepatic cysts that cause obstructive jaundice and compared the safety and efficacy of a combination of percutaneous aspiration and lauromacrogol sclerotherapy with other management strategies. CONCLUSION Giant simple hepatic cysts can cause obstructive jaundice, and a combination of percutaneous catheter aspiration and sclerotherapy with lauromacrogol are suggested to treat such cases.

Doubly complicated: A case of massive non-parasitic liver cyst presenting with dyspnea and inferior vena cava compression: A rare case report

“…Hepatic simple cysts typically manifest asymptomatically and are commonly discovered incidentally via abdominal imaging modalities [ 1 , 6 ]. Simple cysts may present as solitary or multiple lesions, varying in size from millimeters to exceeding than 20 cm in diameter [ 2 , 4 , 7 ]. While symptoms are infrequent, complications may arise due to intracystic bleeding, rupture, or secondary bacterial infection [ 2 , 6 ].…”

“…Simple cysts may present as solitary or multiple lesions, varying in size from millimeters to exceeding than 20 cm in diameter [ 2 , 4 , 7 ]. While symptoms are infrequent, complications may arise due to intracystic bleeding, rupture, or secondary bacterial infection [ 2 , 6 ]. Compression of neighboring structures may ensue, such as compression of the inferior vena cava leading to lower extremity edema, compression of the portal vein culminating in portal hypertension, or compression of the biliary tree leading to cholestasis [ 1 , 2 , 6 ].…”

“…While symptoms are infrequent, complications may arise due to intracystic bleeding, rupture, or secondary bacterial infection [ 2 , 6 ]. Compression of neighboring structures may ensue, such as compression of the inferior vena cava leading to lower extremity edema, compression of the portal vein culminating in portal hypertension, or compression of the biliary tree leading to cholestasis [ 1 , 2 , 6 ]. The lower limb edema observed in our patient may be attributed to the mass effect of the cyst on the inferior vena cava in the absence of any other evident cause.…”

“…Simple hepatic cysts, which are non-parasitic in nature, represent a prevalent form of benign liver ailment, affecting roughly 1–5 % of individuals within the general population [ 1 ]. Advancements in imaging technology have led to a rise in the inadvertent identification of these cysts through abdominal ultrasonography or computed tomography (CT) [ 2 ].…”

Drainage of the hepatic cyst by laparoscopy - clinical case

“…He et al presented the challenges of managing giant simple liver cysts accompanied by obstructive jaundice and compared the safety and efficacy of percutaneous aspiration and lauromacrogol sclerotherapy with other management strategies. 14 The case is a 39-year-old woman with jaundice and abnormal liver function. Imaging studies revealed a giant simple liver cyst with obstruction of the intrahepatic bile ducts.…”