Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature review

Abstract Background Biliary mucinous cystic neoplasms are rare cystic lesions of the liver which carry pre-malignant potential. Given the scarcity of reports in the literature, they pose a considerable challenge to clinical management, particularly with regards to accurate pre-operative diagnosis. C...

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Main Authors: Côme Tholomier, Yifan Wang, Olga Aleynikova, Tsafrir Vanounou, Jean-Sebastien Pelletier
Format: Article
Language:English
Published: BMC 2019-06-01
Series:BMC Gastroenterology
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12876-019-1001-5
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author Côme Tholomier
Yifan Wang
Olga Aleynikova
Tsafrir Vanounou
Jean-Sebastien Pelletier
author_facet Côme Tholomier
Yifan Wang
Olga Aleynikova
Tsafrir Vanounou
Jean-Sebastien Pelletier
author_sort Côme Tholomier
collection DOAJ
description Abstract Background Biliary mucinous cystic neoplasms are rare cystic lesions of the liver which carry pre-malignant potential. Given the scarcity of reports in the literature, they pose a considerable challenge to clinical management, particularly with regards to accurate pre-operative diagnosis. Case presentation We present the case of a 37-year-old Tunisian woman who presented with subacute right upper quadrant pain and a large multi-loculated cystic lesion, most consistent with a hydatid cyst. She underwent an open right hepatectomy, and pathology surprisingly revealed a biliary mucinous cystadenoma. Herein, we review the current literature on biliary mucinous cystic neoplasms, with a particular emphasis on diagnostic investigations, key radiological features and optimal treatment modalities. Conclusion Biliary mucinous cystic neoplasms require a high index of suspicion and should be managed with complete surgical resection, as conservative techniques are associated with high recurrence rates. Considering the potential for malignant transformation, periodical surveillance imaging is recommended in the post-operative period.
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spelling doaj.art-1ae8c79d044c40449768d2a590637f732022-12-22T00:41:47ZengBMCBMC Gastroenterology1471-230X2019-06-011911810.1186/s12876-019-1001-5Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature reviewCôme Tholomier0Yifan Wang1Olga Aleynikova2Tsafrir Vanounou3Jean-Sebastien Pelletier4Division of General Surgery, Jewish General HospitalDivision of General Surgery, Jewish General HospitalDepartment of Pathology, Jewish General HospitalDivision of General Surgery, Jewish General HospitalDivision of General Surgery, Jewish General HospitalAbstract Background Biliary mucinous cystic neoplasms are rare cystic lesions of the liver which carry pre-malignant potential. Given the scarcity of reports in the literature, they pose a considerable challenge to clinical management, particularly with regards to accurate pre-operative diagnosis. Case presentation We present the case of a 37-year-old Tunisian woman who presented with subacute right upper quadrant pain and a large multi-loculated cystic lesion, most consistent with a hydatid cyst. She underwent an open right hepatectomy, and pathology surprisingly revealed a biliary mucinous cystadenoma. Herein, we review the current literature on biliary mucinous cystic neoplasms, with a particular emphasis on diagnostic investigations, key radiological features and optimal treatment modalities. Conclusion Biliary mucinous cystic neoplasms require a high index of suspicion and should be managed with complete surgical resection, as conservative techniques are associated with high recurrence rates. Considering the potential for malignant transformation, periodical surveillance imaging is recommended in the post-operative period.http://link.springer.com/article/10.1186/s12876-019-1001-5Biliary cystadenomaBiliary mucinous cystic neoplasmHydatid diseaseInvestigationManagement
spellingShingle Côme Tholomier
Yifan Wang
Olga Aleynikova
Tsafrir Vanounou
Jean-Sebastien Pelletier
Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature review
BMC Gastroenterology
Biliary cystadenoma
Biliary mucinous cystic neoplasm
Hydatid disease
Investigation
Management
title Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature review
title_full Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature review
title_fullStr Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature review
title_full_unstemmed Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature review
title_short Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature review
title_sort biliary mucinous cystic neoplasm mimicking a hydatid cyst a case report and literature review
topic Biliary cystadenoma
Biliary mucinous cystic neoplasm
Hydatid disease
Investigation
Management
url http://link.springer.com/article/10.1186/s12876-019-1001-5
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AT yifanwang biliarymucinouscysticneoplasmmimickingahydatidcystacasereportandliteraturereview
AT olgaaleynikova biliarymucinouscysticneoplasmmimickingahydatidcystacasereportandliteraturereview
AT tsafrirvanounou biliarymucinouscysticneoplasmmimickingahydatidcystacasereportandliteraturereview
AT jeansebastienpelletier biliarymucinouscysticneoplasmmimickingahydatidcystacasereportandliteraturereview