AI Article Synopsis
- Non-parasitic hepatic cysts with biliary communication are rare and tricky to diagnose due to non-specific symptoms, as illustrated by a case of a 70-year-old woman experiencing abdominal discomfort.
- An MRI revealed a large cystic lesion in the liver, leading to surgical exploration where it was discovered that the cyst was connected to the biliary tract.
- The surgical treatment involved resection of the cyst wall and repair of the biliary fistula, resulting in a smooth recovery for the patient without complications post-surgery.
Article Abstract
Non-parasitic hepatic cysts with biliary communication are rare. The clinical symptoms involved are not specific to this condition, thereby making diagnosis difficult and treatment controversial. Here, we report a case of 70-year-old woman complaining of abdominal satiety, combined with non-specific pain in the right upper quadrant. The abdominal contrast-enhanced MRI-scan revealed a large and thick-walled septus cystic lesion in the liver. During operation, the biliary fistula was confirmed in the cyst cavity. A silica gel tube was inserted via the cystic duct for cholangiography, which demonstrated communication between the cyst and biliary tract. We performed wide-scale cyst wall resection; the biliary fistula was completely repaired by the closure of communicated bile ducts. The postoperative course was uneventful, and the patient was discharged with no sign of cholangitis or any other symptoms. The novel surgical management via wide resection of the cyst wall and closure of biliary communication proved to be an adequate and effective procedure for treating nonparasitic hepatic cysts with biliary communication.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3719188 | PMC |
| http://dx.doi.org/10.7497/j.issn.2095-3941.2013.02.008 | DOI Listing |
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