Giant simple hepatic cyst, when and how to treat it
Introduction and Objective: Hepatic cysts are rare, with a prevalence between 0.1 to 0.5%. They are divided into parasitic and non-parasitic, being more common than the last ones. They can be subdivided into simple (<5% of the population) or multiple. Case Report: 46-year-old woman with no releva...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2022-12-01
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| Series: | Annals of Hepatology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1665268122001855 |
| _version_ | 1828125103814082560 |
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| author | IA García Espinosa MY Carmona- Castillo FI García-Juárez JL Pérez-Hernández F Higuera-de-la-Tijera |
| author_facet | IA García Espinosa MY Carmona- Castillo FI García-Juárez JL Pérez-Hernández F Higuera-de-la-Tijera |
| author_sort | IA García Espinosa |
| collection | DOAJ |
| description | Introduction and Objective: Hepatic cysts are rare, with a prevalence between 0.1 to 0.5%. They are divided into parasitic and non-parasitic, being more common than the last ones. They can be subdivided into simple (<5% of the population) or multiple. Case Report: 46-year-old woman with no relevant history. She comes due to an increase in abdominal perimeter of 4 months of evolution and weight loss of 9kg in 4 months; asthenia, adynamia, early satiety, postprandial fullness and abdominal pain in the right upper quadrant, oppressive, intensity 9/10, exacerbated by mobilization. CT scan with a giant liver cyst of 219 × 166 × 239mm, a volume of 4544cc. Alkaline phosphatase and GGT >3 times their normal value. She was admitted for percutaneous drainage placement, with a total output of 7480cc and biochemical and clinical improvement, without complications. Discussion: Simple cysts occur in people over 40 years of age, more frequently in women (4:1 ratio). The differential diagnosis includes liver abscess, tumor, hemangioma, hematoma, parasitic cyst, and polycystosis. They are easy to distinguish by image as they are well-defined; they contain serous fluid and lack septa, papillary projections, and calcifications. They are considered giants when measuring>5 cm and their treatment is only indicated in symptomatic patients, with pain being the usual. Percutaneous drainage has little morbidity and improves compression symptoms. However, recurrence is high (almost 100%), so the administration of a sclerosing agent is recommended. Conclusions: Conservative procedures have high recurrence rates, so systematized laparoscopic surgery is a good option for definitive treatment. Funding: The resources used in this study were from the hospital without any additional financing Declaration of interest: The authors declare no potential conflicts of interest. |
| first_indexed | 2024-04-11T15:15:33Z |
| format | Article |
| id | doaj.art-01190ff30b6c46b09ff2977448ed6a56 |
| institution | Directory Open Access Journal |
| issn | 1665-2681 |
| language | English |
| last_indexed | 2024-04-11T15:15:33Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Annals of Hepatology |
| spelling | doaj.art-01190ff30b6c46b09ff2977448ed6a562022-12-22T04:16:29ZengElsevierAnnals of Hepatology1665-26812022-12-0127100843Giant simple hepatic cyst, when and how to treat itIA García Espinosa0MY Carmona- Castillo1FI García-Juárez2JL Pérez-Hernández3F Higuera-de-la-Tijera4General Hospital of México “Dr. Eduardo Liceaga.” México City, MéxicoGeneral Hospital of México “Dr. Eduardo Liceaga.” México City, MéxicoGeneral Hospital of México “Dr. Eduardo Liceaga.” México City, MéxicoGeneral Hospital of México “Dr. Eduardo Liceaga.” México City, MéxicoGeneral Hospital of México “Dr. Eduardo Liceaga.” México City, MéxicoIntroduction and Objective: Hepatic cysts are rare, with a prevalence between 0.1 to 0.5%. They are divided into parasitic and non-parasitic, being more common than the last ones. They can be subdivided into simple (<5% of the population) or multiple. Case Report: 46-year-old woman with no relevant history. She comes due to an increase in abdominal perimeter of 4 months of evolution and weight loss of 9kg in 4 months; asthenia, adynamia, early satiety, postprandial fullness and abdominal pain in the right upper quadrant, oppressive, intensity 9/10, exacerbated by mobilization. CT scan with a giant liver cyst of 219 × 166 × 239mm, a volume of 4544cc. Alkaline phosphatase and GGT >3 times their normal value. She was admitted for percutaneous drainage placement, with a total output of 7480cc and biochemical and clinical improvement, without complications. Discussion: Simple cysts occur in people over 40 years of age, more frequently in women (4:1 ratio). The differential diagnosis includes liver abscess, tumor, hemangioma, hematoma, parasitic cyst, and polycystosis. They are easy to distinguish by image as they are well-defined; they contain serous fluid and lack septa, papillary projections, and calcifications. They are considered giants when measuring>5 cm and their treatment is only indicated in symptomatic patients, with pain being the usual. Percutaneous drainage has little morbidity and improves compression symptoms. However, recurrence is high (almost 100%), so the administration of a sclerosing agent is recommended. Conclusions: Conservative procedures have high recurrence rates, so systematized laparoscopic surgery is a good option for definitive treatment. Funding: The resources used in this study were from the hospital without any additional financing Declaration of interest: The authors declare no potential conflicts of interest.http://www.sciencedirect.com/science/article/pii/S1665268122001855 |
| spellingShingle | IA García Espinosa MY Carmona- Castillo FI García-Juárez JL Pérez-Hernández F Higuera-de-la-Tijera Giant simple hepatic cyst, when and how to treat it Annals of Hepatology |
| title | Giant simple hepatic cyst, when and how to treat it |
| title_full | Giant simple hepatic cyst, when and how to treat it |
| title_fullStr | Giant simple hepatic cyst, when and how to treat it |
| title_full_unstemmed | Giant simple hepatic cyst, when and how to treat it |
| title_short | Giant simple hepatic cyst, when and how to treat it |
| title_sort | giant simple hepatic cyst when and how to treat it |
| url | http://www.sciencedirect.com/science/article/pii/S1665268122001855 |
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