Ciliated Hepatic Foregut Cyst with Obstructive Jaundice

Ciliated hepatic foregut cysts (CHFCs) are rare congenital cystic lesion that are most often solitary, unilocular, and located in the subcapsular region of the medial segment of the left hepatic lobe. The mucoid fluid contents affect imaging studies and often make definitive diagnosis difficult. CHF...

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Main Authors: Hidenori Kiyochi, Kenzo Okada, Kazuhide Iwakawa, Mamoru Nakanishi, Hajime Satoh, Shunsuke Iimori, Maiko Miyoshi, Koji Yamamoto, Hiroshi Kotegawa, Akihiro Takai, Shinsuke Kajiwara
Format: Article
Language:English
Published: Karger Publishers 2008-12-01
Series:Case Reports in Gastroenterology
Subjects:
Online Access:http://www.karger.com/Article/FullText/176062
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author Hidenori Kiyochi
Kenzo Okada
Kazuhide Iwakawa
Mamoru Nakanishi
Hajime Satoh
Shunsuke Iimori
Maiko Miyoshi
Koji Yamamoto
Hiroshi Kotegawa
Akihiro Takai
Shinsuke Kajiwara
author_facet Hidenori Kiyochi
Kenzo Okada
Kazuhide Iwakawa
Mamoru Nakanishi
Hajime Satoh
Shunsuke Iimori
Maiko Miyoshi
Koji Yamamoto
Hiroshi Kotegawa
Akihiro Takai
Shinsuke Kajiwara
author_sort Hidenori Kiyochi
collection DOAJ
description Ciliated hepatic foregut cysts (CHFCs) are rare congenital cystic lesion that are most often solitary, unilocular, and located in the subcapsular region of the medial segment of the left hepatic lobe. The mucoid fluid contents affect imaging studies and often make definitive diagnosis difficult. CHFCs are usually asymptomatic and found incidentally. We report a 69-year-old female patient with a CHFC causing obstructive jaundice, which was difficult to differentiate from a biliary cystic neoplasm. A well-defined cystic lesion measuring 25 mm in diameter was located in the porta hepatis region. The lesion was densely adherent to the left and right hepatic ducts, riding on the bifurcation, and the common hepatic duct was extrinsically compressed. An extended left hepatectomy was performed. A diagnosis of CHFC was made on the basis of typical histological findings. CHFC should be included in the differential diagnosis for cystic lesions of the liver.
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spelling doaj.art-46ab60c36ac34e2a8551be46c9f7a1ef2022-12-22T03:09:29ZengKarger PublishersCase Reports in Gastroenterology1662-06312008-12-012347948510.1159/000176062176062Ciliated Hepatic Foregut Cyst with Obstructive JaundiceHidenori KiyochiKenzo OkadaKazuhide IwakawaMamoru NakanishiHajime SatohShunsuke IimoriMaiko MiyoshiKoji YamamotoHiroshi KotegawaAkihiro TakaiShinsuke KajiwaraCiliated hepatic foregut cysts (CHFCs) are rare congenital cystic lesion that are most often solitary, unilocular, and located in the subcapsular region of the medial segment of the left hepatic lobe. The mucoid fluid contents affect imaging studies and often make definitive diagnosis difficult. CHFCs are usually asymptomatic and found incidentally. We report a 69-year-old female patient with a CHFC causing obstructive jaundice, which was difficult to differentiate from a biliary cystic neoplasm. A well-defined cystic lesion measuring 25 mm in diameter was located in the porta hepatis region. The lesion was densely adherent to the left and right hepatic ducts, riding on the bifurcation, and the common hepatic duct was extrinsically compressed. An extended left hepatectomy was performed. A diagnosis of CHFC was made on the basis of typical histological findings. CHFC should be included in the differential diagnosis for cystic lesions of the liver.http://www.karger.com/Article/FullText/176062Ciliated hepatic foregut cystObstructive jaundicePorta hepatis
spellingShingle Hidenori Kiyochi
Kenzo Okada
Kazuhide Iwakawa
Mamoru Nakanishi
Hajime Satoh
Shunsuke Iimori
Maiko Miyoshi
Koji Yamamoto
Hiroshi Kotegawa
Akihiro Takai
Shinsuke Kajiwara
Ciliated Hepatic Foregut Cyst with Obstructive Jaundice
Case Reports in Gastroenterology
Ciliated hepatic foregut cyst
Obstructive jaundice
Porta hepatis
title Ciliated Hepatic Foregut Cyst with Obstructive Jaundice
title_full Ciliated Hepatic Foregut Cyst with Obstructive Jaundice
title_fullStr Ciliated Hepatic Foregut Cyst with Obstructive Jaundice
title_full_unstemmed Ciliated Hepatic Foregut Cyst with Obstructive Jaundice
title_short Ciliated Hepatic Foregut Cyst with Obstructive Jaundice
title_sort ciliated hepatic foregut cyst with obstructive jaundice
topic Ciliated hepatic foregut cyst
Obstructive jaundice
Porta hepatis
url http://www.karger.com/Article/FullText/176062
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