Spontaneous rupture of a large non-parasitic liver cyst: a case report

Miliadis, Lazaros; Giannakopoulos, Triantafillos G.; Boutsikos, Georgios; Terzis, Ioannis; Kyriazanos, Ioannis

doi:10.1186/1752-1947-4-2

Cited by 24 publications

(18 citation statements)

References 12 publications

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“…Treatment consists of percutaneous drainage of ascites and liver cysts or surgical intervention. 56,58 Liver volume-related complications Complications resulting from pressure on adjacent organs by a single cyst or by the enlarged liver are rare, but may be severe depending on the location. The incidence of such complications is unknown.…”

Section: Hepatic Cyst Rupturementioning

confidence: 99%

Clinical management of polycystic liver disease

Aerts

Laarschot

Bañales

et al. 2018

Journal of Hepatology

127

209

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In this Grand Rounds article, we present a typical case of a woman with polycystic liver disease. This case prompts questions which both patients and clinicians may face in clinical practice. This article aims to provide guidance to clinicians caring for patients with polycystic liver disease, in relation to key recent developments in the field. We discuss the latest advances in our understanding of pathophysiology, the natural course of disease, complications, as well as existing and potential new treatment options.

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Section: Hepatic Cyst Rupturementioning

confidence: 99%

Clinical management of polycystic liver disease

Aerts

Laarschot

Bañales

et al. 2018

Journal of Hepatology

127

209

View full text Add to dashboard Cite

show abstract

“…In our computerized search of English-language reports of NLC rupture published from 1959 to 2013, we identified only 17 publications describing NLC rupture (Table 3 ) [ 3 – 19 ]. The causes of NLC rupture are variable and include infection, trauma, iatrogenic injury, and spontaneity [ 11 , 16 , 20 ]. In the current report, we presented a case of the second rupture without a specific cause such as infection or trauma after previous conservative treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Complete cyst excision and partial hepatectomy have been performed in some cases because of concern regarding malignancy. However, these operations are highly invasive and almost unacceptable for benign diseases despite the fact that the reported recurrence rate is 0 % [ 11 , 25 ]. Therefore, in the present case, we performed emergent laparotomy, cyst fenestration, argon beam coagulation of the remaining cyst wall, and placement of an omental transposition flap.…”

Section: Discussionmentioning

confidence: 99%

Rerupture of nonparasitic liver cyst treated with cyst fenestration: a case report

et al. 2015

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We herein describe a case involving spontaneous rerupture of a nonparasitic liver cyst successfully treated with cyst fenestration and an omental flap. A 59-year-old Japanese woman was transferred to our hospital for evaluation of acute abdominal pain. She had a history of conservative treatment with antibiotics for spontaneous rupture of a liver cyst 1 month previously. On arrival, she exhibited abdominal tenderness and muscular defense. Enhanced computed tomography showed ascites and a large ruptured hepatic cyst (diameter of 10 cm). We diagnosed rerupture of a liver cyst and performed laparotomy for cyst fenestration and intraperitoneal drainage. During the operation, we found the perforation site on the ventral side of the cyst and brown, muddled ascitic fluid. Cholangiography showed no bile leakage on the inner wall. Pathological investigation revealed no evidence of malignancy. The patient recovered without any adverse events and was discharged on postoperative day 8. No recurrences or complications occurred for 2 years.

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“…However, since our patient had no previous history of trauma or other episodes leading to mechanical injury to the cyst, the rupture was spontaneous [2,7,8]. This complication of hepatic cysts is a rare occurrence [1,2].…”

Section: Wwwijcasereportsandimagescommentioning

confidence: 99%

“…But some cysts may slowly enlarge and occasionally become symptomatic due to mass effect, rupture, hemorrhage, or infection [1]. Spontaneous rupture of a simple hepatic cyst is a rare occurrence [1,2], and the clinical course after rupture is not fully known. We report a case of a huge hepatic cyst which rapidly regrew after spontaneous rupture.…”

Section: Introductionmentioning

confidence: 99%

Rapid regrowth of a large hepatic cyst following spontaneous rupture

Nakajima¹,

Okajima²,

Shibuya³

et al. 2014

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comRapid regrowth of a large hepatic cyst following spontaneous rupture Tomoki Nakajima, Manabu Okajima, Akiko Shibuya, Junko Yamaoka, Toshiaki Nakashima, Yoshito Itoh ABSTRACT Introduction: Spontaneous rupture of a simple hepatic cyst is rare, and the clinical course after rupture is not fully known. We report a case of a huge hepatic cyst which rapidly regrew after spontaneous rupture. Case Report: A 74-year-old male underwent further examination and follow-up of a huge hepatic cyst which was first detected at annual health check. On his first visit, the cyst was 10×9 cm in size. During the first 7 years of follow-up, the cyst gradually grew to 18×14 cm. Eight years after his first visit, ultrasonography showed that the huge hepatic cyst was without intracystic echogenic content. However, nine days after that, a computed tomography (CT) scan revealed that the cyst had nearly disappeared with remnant minimal cystic fluid and ascites although the patient was asymptomatic. Subsequently, within one month, the patient complained of back pain, and another CT scan showed that the cyst rapidly regrew to 13×10 cm in size. The cyst gradually regressed after sequential intracystic injection of absolute ethanol and minocycline. Conclusion:The rapid disappearance of the cyst was considered to be due to intraperitoneal rupture. The patient was asymptomatic just after rupture, but complained of back pain possibly because the regrowth was rapid. In some cases of huge hepatic cyst, rupture may be dismissed because it can be asymptomatic and the cystic fluid may have possibly already accumulated by the time symptoms appear.

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Spontaneous rupture of a large non-parasitic liver cyst: a case report

Cited by 24 publications

References 12 publications

Clinical management of polycystic liver disease

Clinical management of polycystic liver disease

Rerupture of nonparasitic liver cyst treated with cyst fenestration: a case report

Rapid regrowth of a large hepatic cyst following spontaneous rupture

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