Medline ® Abstracts for References 2,7
of 'Diagnosis and management of cystic lesions of the liver'
Hepatobiliary cystadenoma protruding into the common bile duct, mimicking complicated hydatid cyst of the liver. Report of a case.
Gadzijev E, Dragan S, Verica FM, Jana G
We report on a case of 61 year old female who presented with upper abdominal discomfort. Ultrasound and computerized tomography scan revealed a liver cyst resembling a hydatid cyst. Signs of mild biliary obstruction were present in laboratory tests. At operation, a cystadenoma of the left liver protruding into the common bile duct was found. Left hepatectomy with resection of the common bile duct and right side cholangiojejunostomy were performed.
Medical Centre Ljubljana, Department of Gastroenterologic Surgery, Slovenia.
Nonparasitic solitary giant hepatic cyst causing obstructive jaundice was successfully treated with monoethanolamine oleate.
Miyamoto M, Oka M, Izumiya T, Nagaoka T, Ishihara Y, Ueda K, Enomoto S, Yanaoka K, Arii K, Tamai H, Shimizu Y, Ichinose M
Intern Med. 2006;45(9):621.
A 77-year-old man hospitalized for epigastric pain showed jaundice of the skin and conjunctivae. Laboratory tests revealed elevated hepatobiliary enzymes and inflammatory markers, and imaging studies demonstrated a 12 cm hepatic cyst compressing the common bile duct. The diagnosis was a giant hepatic cyst causing obstructive jaundice. Cyst drainage and sclerotherapy with 5% monoethanolamine oleate was performed twice, resulting in almost complete disappearance of the cyst. Obstructive jaundice due to a hepatic cyst, as seen in this case, is relatively rare and this report includes a review of other similar cases in Japan.
Division of Internal Medicine, Nagayama Hospital, Osaka.