S2715 A Not so Simple Cyst: A Case of a Large Benign Exophytic Hepatic Cyst Causing Symptomatic Gastric Compression

Introduction Congenital hepatic cyst is a rare hepatobiliary malformation that can present as an asymptomatic, unilocular, upper abdominal cystic mass in the fetus. Cases We report two cases of congenital hepatic cyst in which the diagnosis was made by prenatal ultrasound at 25 and 33 weeks’ gestation. The diagnosis was confirmed postnatally by abdominal ultrasound and radiologic imaging studies. Although the infants remained asymptomatic, laparoscopic excision was performed due to the increasing size of the cyst in both cases. Pathological examination of the resected specimens confirmed a simple cyst in one case and an epidermoid cyst in the other. Conclusions Our cases and those described in the literature demonstrate the usefulness of incidental prenatal detection of congenital hepatic cyst, especially during late pregnancy. Such a diagnosis can allow for proper perinatal surveillance, selection of the route of delivery, and timely postnatal surgical intervention if required.

Download Full-text

Intrahepatic Biliary Dilatation Caused by a Small Simple Hepatic Cyst: Report of a Case

International Surgery ◽

10.9738/intsurg-d-13-00153.1 ◽

2014 ◽

Vol 99 (6) ◽

pp. 753-756

Author(s):

Hiroshi Naitoh ◽

Takaharu Fukasawa ◽

Minoru Fukuchi ◽

Shinsuke Kiriyama ◽

Yuichi Tabe ◽

...

Keyword(s):

Bile Duct ◽

Malignant Tumors ◽

Intrahepatic Bile Duct ◽

Hepatic Cyst ◽

Cystic Tumor ◽

Biliary Duct ◽

Simple Cyst ◽

Biliary Dilatation ◽

Resected Liver ◽

Simple Hepatic Cyst

Abstract Biliary obstruction caused by small simple cysts is very rare. We present a case of biliary dilatation caused by a simple cyst with a 4-cm diameter. The patient was a 75-year-old woman referred to our hospital for evaluation of a cystic tumor associated with peripheral biliary duct dilatation in the left segment of the liver. Computed tomography and magnetic resonance imaging showed that the cyst probably communicated with the intrahepatic bile duct. Malignant tumors, including intrahepatic papillary neoplasms of the bile duct, could not be ruled out; therefore, we performed surgery with the patient's consent. Histopathologic examination of the resected liver showed that the cystic lesion was a simple cyst. The finding that even small simple cysts can obstruct the biliary tract is important for the management of cystic lesions of the liver.

Download Full-text

Hepatic Cyst versus Hemangioma: Useful T2-FLAIR Image for Differentiation

The Bangkok Medical Journal ◽

10.31524/bkkmedj.2017.02.006 ◽

2017 ◽

Vol 13 (1) ◽

pp. 41-44

Author(s):

Thussanee Chanthasittiporn

Keyword(s):

Hepatic Cyst ◽

Flair Image

Download Full-text

A Case of Benign Hepatic Cyst with Supra-elevated Cyst Fluid Tumor Markers

Digestive Diseases and Sciences ◽

10.1007/s10620-020-06727-z ◽

2021 ◽

Author(s):

Alexander Tonthat ◽

Danvi Bui ◽

Miriam Romero ◽

Emily Lo ◽

Gary Kanel ◽

...

Keyword(s):

Tumor Markers ◽

Hepatic Cyst ◽

Cyst Fluid

Download Full-text

Surgery in congenital lung malformations: the evolution from thoracotomy to VATS, 10-year experience in a single center

Journal of Cardiothoracic Surgery ◽

10.1186/s13019-021-01511-0 ◽

2021 ◽

Vol 16 (1) ◽

Author(s):

Kenan C. Ceylan ◽

Güntuğ Batihan ◽

Ahmet Üçvet ◽

Soner Gürsoy

Keyword(s):

Surgical Treatment ◽

Surgical Resection ◽

Thoracoscopic Surgery ◽

Pathological Examination ◽

Congenital Cystic Adenomatoid Malformation ◽

Simple Cyst ◽

Cyst Excision ◽

Congenital Lung Malformation ◽

First Choice ◽

Congenital Lung Malformations

Abstract Background Congenital lung malformation is an umbrella term and consist of various kind of parenchymal and mediastinal pathologies. Surgical resection is often required for diagnosis and curative treatment. We aimed to review our experience in surgical treatment for congenital lung disease and present the role of minimally invasive surgery. Methods Surgical resections performed for benign lesions of the lung and mediastinum between January 2009 and May 2019 were retrospectively analyzed. Patients who were found to have congenital lung malformation as a result of pathological examination were included in our study. Distribution characteristics of the patients according to congenital lung malformation subtypes, differences in surgical approach and postoperative results were investigated. Results A total of 94 patients who underwent surgical resection and were diagnosed with the bronchogenic cyst, sequestration, bronchial atresia, congenital cystic adenomatoid malformation (CCAM), or enteric cyst as a result of pathological examination were included the study. There were no significant differences between pathological subtypes in the postoperative length of hospital stay and drainage duration however, perioperative complication rate was higher in the sequestration group. In addition, in the first three days postoperatively, the mean pain score was found to be lower in the VATS group compared to thoracotomy. Conclusions Congenital lung malformations consist of a heterogeneous group of diseases and the surgical treatment in these patients can range from a simple cyst excision to pneumonectomy. Video-assisted thoracoscopic surgery should be considered as the first choice in the surgical treatment of these patients in experienced centers.

Download Full-text