Laparoscopy-assisted extended right hepatectomy for giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma: a case report.
Hemorrhagic hepatic cyst
Laparoscopy-assisted surgery
Neovascularization
Organized hematoma
Journal
Surgical case reports
ISSN: 2198-7793
Titre abrégé: Surg Case Rep
Pays: Germany
ID NLM: 101662125
Informations de publication
Date de publication:
11 Apr 2019
11 Apr 2019
Historique:
received:
15
01
2019
accepted:
03
04
2019
entrez:
13
4
2019
pubmed:
13
4
2019
medline:
13
4
2019
Statut:
epublish
Résumé
Hemorrhagic hepatic cysts infrequently involve several iconographic changes requiring a differential diagnosis, primarily with a cystic malignancy. We herein report a case of laparoscopy-assisted extended right hepatectomy for a giant hemorrhagic hepatic cyst with an enhancing mural nodule that was clinically suspected of being biliary cystadenocarcinoma. A 73-year-old woman was followed up for giant hepatic cyst occupying the right lobe of the liver. During the follow-up, an enhancing mural nodule was newly noted on computed tomography in 2016. Based on additional clinical examinations, biliary cystadenocarcinoma was undeniable, and laparoscopy-assisted extended right hepatectomy was performed for diagnostic and therapeutic purposes. She had no perioperative complications and was discharged on postoperative day 13. A histological examination of the mural nodule showed neovascularization within an organized hematoma. We herein report a rare case of giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma that was successfully treated with laparoscopy-assisted extended right hepatectomy. Laparoscopic surgery in our case was an effective procedure performed with the utmost care.
Sections du résumé
BACKGROUND
BACKGROUND
Hemorrhagic hepatic cysts infrequently involve several iconographic changes requiring a differential diagnosis, primarily with a cystic malignancy. We herein report a case of laparoscopy-assisted extended right hepatectomy for a giant hemorrhagic hepatic cyst with an enhancing mural nodule that was clinically suspected of being biliary cystadenocarcinoma.
CASE PRESENTATION
METHODS
A 73-year-old woman was followed up for giant hepatic cyst occupying the right lobe of the liver. During the follow-up, an enhancing mural nodule was newly noted on computed tomography in 2016. Based on additional clinical examinations, biliary cystadenocarcinoma was undeniable, and laparoscopy-assisted extended right hepatectomy was performed for diagnostic and therapeutic purposes. She had no perioperative complications and was discharged on postoperative day 13. A histological examination of the mural nodule showed neovascularization within an organized hematoma.
CONCLUSION
CONCLUSIONS
We herein report a rare case of giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma that was successfully treated with laparoscopy-assisted extended right hepatectomy. Laparoscopic surgery in our case was an effective procedure performed with the utmost care.
Identifiants
pubmed: 30977012
doi: 10.1186/s40792-019-0621-x
pii: 10.1186/s40792-019-0621-x
pmc: PMC6459455
doi:
Types de publication
Journal Article
Langues
eng
Pagination
58Références
Br J Radiol. 2001 Mar;74(879):270-2
pubmed: 11338106
J Gastroenterol Hepatol. 2001 Mar;16(3):352-5
pubmed: 11339432
J Gastroenterol. 2003;38(2):190-3
pubmed: 12640536
J Gastroenterol. 2003;38(8):759-64
pubmed: 14505130
J Thorac Oncol. 2008 Sep;3(9):971-8
pubmed: 18758298
J Hepatobiliary Pancreat Surg. 2009;16(4):439-44
pubmed: 19458893
World J Gastroenterol. 2009 Sep 28;15(36):4601-3
pubmed: 19777623
Gastrointest Radiol. 1990 Spring;15(2):112-4
pubmed: 2180772
Ann Surg. 2015 Apr;261(4):619-29
pubmed: 25742461
Intern Med. 2015;54(16):2001-5
pubmed: 26278291
Ann Gastroenterol Surg. 2017 Apr 25;1(1):33-43
pubmed: 29863134
Transl Oncol. 2019 Feb;12(2):375-380
pubmed: 30522044
Abdom Radiol (NY). 2019 Apr;44(4):1205-1212
pubmed: 30663024