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

Abstract

HighlightsTraumatic rupture of a non-parasitic simple hepatic cyst is very unusual.Open or laparoscopic cyst deroofing is a safe and effective treatment for non-parasitic simple hepatic cysts.Rupture of a non-parasitic simple hepatic cyst could be included in the differential diagnosis of acute abdomen.

EASL Clinical Practice Guidelines on the management of cystic liver diseases

“…The evidence base on the rupture of hepatic cysts comes from a few case reports. [74][75][76][77][78] These studies reported a median cyst size (prior to rupture) of >10 cm (range 2-35 cm). Risk factors for cyst rupture include cyst haemorrhage, cyst infection, trauma and intervention.…”

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

“…However, the recurrence rate of the cyst is >80% and is associated with further hemorrhage and subsequently the likelihood of acute abdomen and the need for emergent surgery [ 3 ]. It is also important to note that >50% of patients with hemorrhagic liver cysts present to the ED after a traumatic inciting event such as: massaging the cyst (our patient), pregnancy and recent abdominal contusion and/or ground level fall [ 1 , 3 , 5–7 ].…”

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

“…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 ].…”

“…These cysts typically present as asymptomatic, permitting conservative follow-up without targeted intervention [ 1 , 3 ]. Nevertheless, certain cysts may be linked with complications including infection, hemorrhage, obstructive jaundice, portal hypertension, and rupture [ 1 , 4 ]. Exceptionally, it can be revealed by respiratory symptoms such as dyspnea [ 1 ].…”

“…Nevertheless, certain cysts may be linked with complications including infection, hemorrhage, obstructive jaundice, portal hypertension, and rupture [ 1 , 4 ]. Exceptionally, it can be revealed by respiratory symptoms such as dyspnea [ 1 ]. Herein, we elucidate a particularly intricate scenario involving a massive non-parasitic liver cyst in a 61-year-old female patient, further complicated by dyspnea and compression of the inferior vena cava.…”