Rebecca Brady, Niloy Ghosh and Izi Obokhare*
Department of Surgery, Texas Tech University Health Sciences, USAFulltext PDF
A 29-year-old female presented to the emergency department with abdominal bloating, early satiety, anorexia, and associated postprandial discomfort localized to the epigastric region for 1.5 months. She had a similar episode 2 years prior. Abdominopelvic CT scan done then showed a simple hepatic cyst measuring 17.2 cm × 16.5 cm × 12.0 cm in size. It was drained percutaneously by interventional radiology. The cyst then resolved and the patient was discharged home. On the current visit, abdominopelvic CT was significant for a recurrent hepatic cyst measuring 19.5 cm × 18.3 cm × 11.9 cm extending into the portal region and interposed between the left lobe of the liver, the stomach, and the body of the pancreas with mass effect. Lipase was mildly elevated at 165. After extensive counseling and discussion of non-operative management, the patient underwent laparoscopic cystectomy. Cystic fluid was negative for neoplasm or infection. Upon most recent follow up, the patient was asymptomatic.
Brady R, Ghosh N, Obokhare I. Laparoscopic Management of a Recurrent Simple Giant Hepatic Cyst. Clin Surg. 2019; 4: 2280.