Giant biliary cystadenoma

Morris, M. A.; Anderson, CD; Drake, LC; Redfield, SM; Subramony, Charu; Vanderlan, WB

doi:10.1093/jscr/2012.9.15

Cited by 7 publications

(3 citation statements)

References 8 publications

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“…Enucleation is a viable alternative in cases in which formal resection would be technically difficult or associated with excessive morbidity [45, 46]. Although only small case series are available, some have shown comparable results compared to formal hepatectomy, with few recurrences [9, 47].…”

Section: Discussionmentioning

confidence: 99%

Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature review

et al. 2019

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Background Biliary mucinous cystic neoplasms are rare cystic lesions of the liver which carry pre-malignant potential. Given the scarcity of reports in the literature, they pose a considerable challenge to clinical management, particularly with regards to accurate pre-operative diagnosis. Case presentation We present the case of a 37-year-old Tunisian woman who presented with subacute right upper quadrant pain and a large multi-loculated cystic lesion, most consistent with a hydatid cyst. She underwent an open right hepatectomy, and pathology surprisingly revealed a biliary mucinous cystadenoma. Herein, we review the current literature on biliary mucinous cystic neoplasms, with a particular emphasis on diagnostic investigations, key radiological features and optimal treatment modalities. Conclusion Biliary mucinous cystic neoplasms require a high index of suspicion and should be managed with complete surgical resection, as conservative techniques are associated with high recurrence rates. Considering the potential for malignant transformation, periodical surveillance imaging is recommended in the post-operative period.

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Section: Discussionmentioning

confidence: 99%

Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature review

et al. 2019

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“…The prognosis of hepatic cystadenomas is extremely good after complete resection. Inappropriate treatment, in particular aspiration or partial resection, is associated with a recurrence rate greater than 90% and a malignant degeneration risk of 30% [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

The management of a cystic hepatic lesion ruptured in the bile ducts: a case report

et al. 2017

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BackgroundHepatic cystadenoma is a rare benign cystic tumor; it tends to recur after incomplete surgical resection and has malignant potential. We report the case of a patient with a ruptured biliary cystadenoma in the common bile duct that caused diagnostic and therapeutic problems.Case presentationA 34-year-old North African woman, admitted for angiocholitis, was operated 2 months before for a hepatic cystic lesion taken for a hydatid cyst compressing her common bile duct. The clinical and the complementary examinations converged toward recurrence of the hydatid cyst for which a surgical resection was decided. Intraoperative findings as well as the histological study of the “membranes” extracted from her common bile duct indicated a hepatic cystadenoma.ConclusionsThe rarity of hepatic cystadenoma and the non-specificity of clinical and imaging signs make diagnosis of hepatic cystadenoma difficult, especially when it is complicated by rupture in the bile ducts; this contributes to a delay in diagnosis and an inadequate therapeutic approach.

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“…Based on the location of origin symptoms may differ. 1,4 These are first described by Heuter in 1887. BCA is believed to be premalignant with risk of malignant transformation up to 20-30%.…”

Section: Introductionmentioning

confidence: 99%

Biliary cystadenoma a case report

et al. 2021

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Biliary cystadenoma (BCA) is a rare cystic neoplasm of liver with malignant potential and female predominance, mostly asymptomatic that will lead to late identification. BCAs are mostly do not communicate with Biliary tract but communication was reported in some studies, BCA has higher rate of recurrence after incomplete removal so the standard management is complete resection or partial hepatectomy. We report a case of BCA in 72-year aged female with ECOG score 3. Computed tomography showed BCA involving segment II, III, IV and VIII of liver without any malignant features, which was treated with laparoscopic deroofing with omentopexy and no recurrence at 1 year follow up. We used indocyanine green-fluorescent image to look for biliary communication. This study aims to report that minimal accesses surgery with deroofing and omentopexy can be alternative treatment for BCA without any malignant features in a poor performance status and use of Indocyanine green-fluorescent image to avoid biliary injury and rule out communication.

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Giant biliary cystadenoma

Cited by 7 publications

References 8 publications

Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature review

Biliary mucinous cystic neoplasm mimicking a hydatid cyst: a case report and literature review

The management of a cystic hepatic lesion ruptured in the bile ducts: a case report

Biliary cystadenoma a case report

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