A small solitary non-parasitic hepatic cyst causing an intra-hepatic bile duct stricture: a case report
<p>Abstract</p> <p>Introduction</p> <p>We report an unusual presentation of a small hepatic cyst causing cholangitis.</p> <p>Case presentation</p> <p>A 70-year-old Asian man was hospitalized for aggravated chronic pain in the right upper portion...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2010-08-01
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| Series: | Journal of Medical Case Reports |
| Online Access: | http://www.jmedicalcasereports.com/content/4/1/254 |
| _version_ | 1811297532401156096 |
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| author | Hong Taeho Lee Keunho |
| author_facet | Hong Taeho Lee Keunho |
| author_sort | Hong Taeho |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>We report an unusual presentation of a small hepatic cyst causing cholangitis.</p> <p>Case presentation</p> <p>A 70-year-old Asian man was hospitalized for aggravated chronic pain in the right upper portion of his abdomen. Fever developed after admission. Laboratory tests revealed elevated hepatobiliary enzymes, inflammatory markers and carbohydrate antigen 19-9 without hyperbilirubinemia. Ultrasound and computed tomography demonstrated dilatation of the left intra-hepatic bile ducts. Endoscopic retrograde cholangiopancreatography showed that the right intra-hepatic bile ducts were normally filled with contrast medium, but the left intra-hepatic bile ducts were not seen in the confluence. A left hepatectomy was performed because a hidden malignancy could not be excluded. The surgical findings showed no tumor around the bile duct but rather a 2 cm cyst in segment four of Couinaud's category of the liver around the hilum. The pathology report was a solitary non-parasitic hepatic cyst compressing the bile duct.</p> <p>Conclusion</p> <p>A very small solitary hepatic cyst might cause hepatic duct stricture if it is located near the hepatic hilum, and should be considered in the differential diagnosis of a hepatic duct stricture.</p> |
| first_indexed | 2024-04-13T06:05:47Z |
| format | Article |
| id | doaj.art-10aacb75967e4335974c8e8adc034ca7 |
| institution | Directory Open Access Journal |
| issn | 1752-1947 |
| language | English |
| last_indexed | 2024-04-13T06:05:47Z |
| publishDate | 2010-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Medical Case Reports |
| spelling | doaj.art-10aacb75967e4335974c8e8adc034ca72022-12-22T02:59:15ZengBMCJournal of Medical Case Reports1752-19472010-08-014125410.1186/1752-1947-4-254A small solitary non-parasitic hepatic cyst causing an intra-hepatic bile duct stricture: a case reportHong TaehoLee Keunho<p>Abstract</p> <p>Introduction</p> <p>We report an unusual presentation of a small hepatic cyst causing cholangitis.</p> <p>Case presentation</p> <p>A 70-year-old Asian man was hospitalized for aggravated chronic pain in the right upper portion of his abdomen. Fever developed after admission. Laboratory tests revealed elevated hepatobiliary enzymes, inflammatory markers and carbohydrate antigen 19-9 without hyperbilirubinemia. Ultrasound and computed tomography demonstrated dilatation of the left intra-hepatic bile ducts. Endoscopic retrograde cholangiopancreatography showed that the right intra-hepatic bile ducts were normally filled with contrast medium, but the left intra-hepatic bile ducts were not seen in the confluence. A left hepatectomy was performed because a hidden malignancy could not be excluded. The surgical findings showed no tumor around the bile duct but rather a 2 cm cyst in segment four of Couinaud's category of the liver around the hilum. The pathology report was a solitary non-parasitic hepatic cyst compressing the bile duct.</p> <p>Conclusion</p> <p>A very small solitary hepatic cyst might cause hepatic duct stricture if it is located near the hepatic hilum, and should be considered in the differential diagnosis of a hepatic duct stricture.</p>http://www.jmedicalcasereports.com/content/4/1/254 |
| spellingShingle | Hong Taeho Lee Keunho A small solitary non-parasitic hepatic cyst causing an intra-hepatic bile duct stricture: a case report Journal of Medical Case Reports |
| title | A small solitary non-parasitic hepatic cyst causing an intra-hepatic bile duct stricture: a case report |
| title_full | A small solitary non-parasitic hepatic cyst causing an intra-hepatic bile duct stricture: a case report |
| title_fullStr | A small solitary non-parasitic hepatic cyst causing an intra-hepatic bile duct stricture: a case report |
| title_full_unstemmed | A small solitary non-parasitic hepatic cyst causing an intra-hepatic bile duct stricture: a case report |
| title_short | A small solitary non-parasitic hepatic cyst causing an intra-hepatic bile duct stricture: a case report |
| title_sort | small solitary non parasitic hepatic cyst causing an intra hepatic bile duct stricture a case report |
| url | http://www.jmedicalcasereports.com/content/4/1/254 |
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