Elective laparoscopic deroofing to treat the spontaneous rupture of a large simple liver cyst: a case report

Imaoka, Yuki; Ohira, Masaichi; Kobayashi, Tsuyoshi; Shimizu, Seiichi; Tahara, Hiroyuki; Kuroda, Satoshi; Ide, Kentaro; Ishiyama, K.; Ohdan, Hideki

doi:10.1186/s40792-016-0275-x

Cited by 10 publications

(20 citation statements)

References 27 publications

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“…A systematic review by Imaoka et al identified 18 relevant publications (29 cases) on non-parasitic hepatic cyst ruptures between 1959 and 2015 8. We further identified four publications,9–12 making a total of 34 cases (Imaoka included).…”

Section: Discussionmentioning

confidence: 99%

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Simple hepatic cyst rupture exacerbated by anticoagulation

Tong¹,

Hassan

Gan

et al. 2019

BMJ Case Rep

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Simple hepatic cysts are usually asymptomatic but can rarely result in life-threatening complications such as haemoperitoneum secondary to rupture. A 70-year-old woman with known simple hepatic cyst presented with acute chest pain and dyspnoea. The initial diagnosis was pulmonary embolism, and anticoagulation was commenced. However, she subsequently collapsed with haemodynamic instability. CT revealed a large hepatic cyst haematoma with rupture into the peritoneal cavity. The patient underwent emergency laparotomy, haemostasis and partial deroofing of the cyst. Retrospective review of CT scans suggested that the bleed had begun on presentation but was exacerbated by anticoagulation. To our knowledge, this is the first report of haemorrhagic hepatic cyst associated with acute anticoagulation. We discuss several important clinical lessons including cyst rupture as a possible cause of chest pain, the need for careful review of imaging and the choice of anticoagulation in patients with known simple hepatic cyst.

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Section: Discussionmentioning

confidence: 99%

“…Compression of adjacent organs may also occur, leading to abdominal distension, early satiety, nausea and vomiting 7. In contrast to parasitic hydatid cysts, in which cyst rupture is a well-recognised complication, simple hepatic cysts very rarely rupture 8…”

Section: Introductionmentioning

confidence: 96%

Simple hepatic cyst rupture exacerbated by anticoagulation

Tong¹,

Hassan

Gan

et al. 2019

BMJ Case Rep

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“…Nonparasitic hepatic cysts (NHCs) are a common benign liver disease, that occur in approximately 1–5% of the population and are found more frequently in women (3:1) [1]. Usually they are asymptomatic and can be managed conservatively, but about 5% of NHCs become large and symptomatic, causing abdominal pain, bloating, nausea, vomiting and dyspnoea.…”

Section: Introductionmentioning

confidence: 99%

“…NHCs are also associated with a variety of complications, including rupture, infection, obstructive jaundice and bleeding [1, 4].…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic deroofing of a ruptured hepatic cyst presenting as an acute abdomen

Marques¹,

Camarneiro²,

Silva³

et al. 2019

Journal of Surgical Case Reports

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The rupture of a nonparasitic hepatic cyst is a rare complication for which there is no optimal treatment strategy yet. Laparoscopic deroofing is the standard approach for the elective treatment of symptomatic NHCs but it has seldom been described as an option for a ruptured hepatic cyst. The authors report a case of a male patient presenting to the emergency room with an acute abdomen caused by the rupture of a hepatic cyst. The patient was successfully treated by urgent laparoscopic deroofing of the cyst. Laparoscopic surgery can be a valid option for treating urgent cases presenting the same efficacy and less morbidity than open surgery.

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“…After 2 weeks of anti-infection treatment, it was found that a 10.5 cm cyst was ruptured. Yuki Imaoka reported 4 the patient was treated with elective laparoscopic deroofing. Compared with this study, this patient was more urgent because of the excessive blood loss.…”

mentioning

confidence: 99%