Nonparasitic Solitary Giant Hepatic Cyst Causing Obstructive Jaundice was Successfully Treated with Monoethanolamine Oleate

Miyamoto, Masahiko; Oka, Masashi; Izumiya, Takashi; Nagaoka, Tsunehiro; Ishihara, Yasuhito; Enomoto, Shotaro; Yanaoka, Kimihiko; Arii, Kenji; Tamai, Hideyuki; Shimizu, Yasuhito; Ichinose, Masakazu

doi:10.2169/internalmedicine.45.1408

Cited by 31 publications

(24 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found only 21 reports of intrahepatic bile duct dilatation caused by benign liver tumors documented in the English medical literature, including the present case. [6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23] The benign lesions were liver cysts in 19 cases and 17 were accompanied by obstructive jaundice. The clinical characteristics of the patients with liver cysts accompanied by intrahepatic bile duct dilatation are summarized in Table 1.…”

Section: Discussionmentioning

confidence: 99%

Intrahepatic bile duct dilatation with a liver cyst and hemangioma: Report of a case

2009

View full text Add to dashboard Cite

We report a case of intrahepatic bile duct dilatation with a liver cyst and hemangioma. A 58-year-old woman was referred for investigation of a cystic lesion and peripheral intrahepatic bile duct dilatation in the left lateral segment of the liver. Abdominal computed tomography (CT) and magnetic resonance imaging (MRI) showed dilatation of the intrahepatic bile ducts in the left lateral segment, near a 4.5-cm cystic lesion. Early enhancement into the delayed phase was seen in the dorsal part of the cystic lesion. Celiac angiogram showed a belt-shaped hypervascular area, but no encasement or irregularity of the artery. To exclude malignancy, we performed a left lobectomy. Microscopically, the cyst was lined with a single layer of flattened epithelial cells and a spongy tumor was diagnosed as cavernous hemangioma, which compressed the bile duct. The histopathological diagnosis was biliary stenosis associated with cavernous hemangioma of the liver. Invasive surgery may be avoided by awareness of this unusual benign pathology.

show abstract

Section: Discussionmentioning

confidence: 99%

Intrahepatic bile duct dilatation with a liver cyst and hemangioma: Report of a case

2009

View full text Add to dashboard Cite

show abstract

“…Indeed, we achieved better results in the prolonged drainage group, but there was no statistically significant difference between the groups. Moreover, alcohol can cause severe abdominal pain [14,21], and in some cases overdosage may lead to alcohol intoxication [14]. This especially concerns large cysts that require more alcohol for sclerosation.…”

Section: Discussionmentioning

confidence: 99%

“…Advances in minimally invasive percutaneous treatment have provided an opportunity to treat these cysts with aspiration of cystic fluid and injection of a sclerosing agent. The most common percutaneous treatment for symptomatic non-parasitic cysts is aspiration with alcohol sclerotherapy [6][7][8][9]; rarely other sclerosance is used [10][11][12][13][14][15][16]. Several authors consider that percutaneous cyst aspiration or drainage without sclerotherapy is not recommended because of frequent relapses [2,5,[17][18][19].…”

Section: Introductionmentioning

confidence: 99%

Percutaneous treatment of symptomatic non-parasitic benign liver cysts: Single-session alcohol sclerotherapy versus prolonged catheter drainage with negative pressure

2007

View full text Add to dashboard Cite

To evaluate whether prolonged catheter drainage with negative pressure yields better results than single-session alcohol sclerotherapy in the treatment of symptomatic non-parasitic benign liver cysts. Forty patients were randomly assigned to two groups in a 24-month prospective controlled trial. One group was treated with ultrasound-guided prolonged catheter drainage with negative pressure (20 patients with 24 cysts) and the other group with single-session alcohol sclerotherapy (20 patients with 23 cysts). Patient demographics, clinical characteristics, treatment outcome, and complications were analyzed. The median volumes and 95% CI (confidence interval) for the medians and interquartile ranges of all 47 cysts before treatment and on last follow-up were: 389 ml, 143-1,127 ml, 136-1,300 ml, and 0 ml, 0-10 ml, and 0-23 ml, respectively (P<0.0001). The average volume reduction was 92.4% (range, 74.9-100%), 94.2 % (range, 74.9-100%) in the drainage and 90.2% (range, 76.9-100%) in the sclerotherapy group. Twenty-seven cysts (57.4%) disappeared completely, 16 (66.7%) in the drainage and 11 (47.8%) in the sclerotherapy group. No differences in average volume reduction, final volume and disappearance of the cysts between the groups were noted. The hospital stay was 1 day for all patients. Percutaneous treatment is safe and effective for hepatic non-parasitic cysts. Prolonged catheter drainage with negative pressure and single-session alcohol sclerotherapy had similar results.

show abstract

“…Most prior cases were over 10 cm and the symptoms usually resulted from a mass effect of the enlarging cyst on the neighboring bile ducts [2,3]. However, Tsuyoshi et al and Matthieu et al each reported very exceptional cases of 3 cm and 4 cm sized SNHCs causing dilatation of the IHBD [4,5].…”

Section: Discussionmentioning

confidence: 99%

A small solitary non-parasitic hepatic cyst causing an intra-hepatic bile duct stricture: a case report

Lee

Hong

2010

J Med Case Reports

View full text Add to dashboard Cite

IntroductionWe report an unusual presentation of a small hepatic cyst causing cholangitis.Case presentationA 70-year-old Asian man was hospitalized for aggravated chronic pain in the right upper portion of his abdomen. Fever developed after admission. Laboratory tests revealed elevated hepatobiliary enzymes, inflammatory markers and carbohydrate antigen 19-9 without hyperbilirubinemia. Ultrasound and computed tomography demonstrated dilatation of the left intra-hepatic bile ducts. Endoscopic retrograde cholangiopancreatography showed that the right intra-hepatic bile ducts were normally filled with contrast medium, but the left intra-hepatic bile ducts were not seen in the confluence. A left hepatectomy was performed because a hidden malignancy could not be excluded. The surgical findings showed no tumor around the bile duct but rather a 2 cm cyst in segment four of Couinaud's category of the liver around the hilum. The pathology report was a solitary non-parasitic hepatic cyst compressing the bile duct.ConclusionA very small solitary hepatic cyst might cause hepatic duct stricture if it is located near the hepatic hilum, and should be considered in the differential diagnosis of a hepatic duct stricture.

show abstract

Nonparasitic Solitary Giant Hepatic Cyst Causing Obstructive Jaundice was Successfully Treated with Monoethanolamine Oleate

Cited by 31 publications

References 12 publications

Intrahepatic bile duct dilatation with a liver cyst and hemangioma: Report of a case

Intrahepatic bile duct dilatation with a liver cyst and hemangioma: Report of a case

Percutaneous treatment of symptomatic non-parasitic benign liver cysts: Single-session alcohol sclerotherapy versus prolonged catheter drainage with negative pressure

A small solitary non-parasitic hepatic cyst causing an intra-hepatic bile duct stricture: a case report

Contact Info

Product

Resources

About