Traumatic rupture of a hemorrhagic hepatic cyst: a case presentation and literature review (original) (raw)
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Ruptured Hemorrhagic Hepatic Cyst: An Unusual Case Report
GE - Portuguese Journal of Gastroenterology
Background: Hemorrhagic rupture of a hepatic cyst is rare. To date, very few cases have been reported in the literature. Case Report: A patient with a history of a suspected liver hydatid cyst presented to the emergency department with abdominal pain and fever. She was admitted with the presumptive diagnosis of acute cholecystitis. During hospitalization, the patient presented with hemodynamic instability and abrupt worsening of the abdominal pain. The abdominal angio-chemotherapy scan showed an abundant free peritoneal effusion and an apparent effacement of the anterior wall of a hepatic cyst of 16 cm. The patient underwent an exploratory laparotomy, deroofing of the cyst, and peritoneal lavage. The anatomopathological results showed a simple hepatic cyst. Discussion: Hemorrhagic rupture of simple hepatic cysts is a life-threatening complication and, although rare, should be included in the differential diagnosis of sudden abdominal pain in patients with a history of simple hepatic cysts.
Spontaneous rupture of a giant non parasitic hepatic cyst presenting as an acute surgical abdomen
Annals of hepatology
Spontaneous rupture of a non parasitic hepatic cyst is an extremely rare occurrence. A 50 -year- old male, was admitted with typical clinical manifestations of acute surgical abdomen. At exploratory laparotomy, a giant ruptured non parasitic cyst occupying the entire left liver lobe was found, along with a large amount of free intraperitoneal fluid. The cyst was widely unroofed very close to the liver parenchyma. The patient had an uneventful postoperative course and was discharged six days later. The clinical presentation, diagnostic evaluation and surgical management of this extremely rare clinical entity are discussed, along with a review of the literature. This case, which according to our best knowledge is the fourth reported in the literature, highlights the considerable risk of serious complications associated with the presence of a large symptomatic nonparasitic hepatic cyst. Prophylactic treatment should be considered in all these cases.
Spontaneous rupture of a large non-parasitic liver cyst: a case report
Journal of Medical Case Reports, 2010
Introduction: Non-parasitic hepatic cysts are benign entities, occur rarely (5% of the population), and in the majority of cases, are asymptomatic. Cysts can cause symptoms when they become large and produce bile duct compression or portal hypertension, and also when complications such as rupture, infection or hemorrhage take place. Case presentation: We present the case of a 70-year-old Greek-Caucasian man with a large, asymptomatic and non-parasitic liver cyst that presented as an acute surgical abdominal emergency after spontaneous rupture into the peritoneal cavity. Conclusions: We present an extremely rare complication of simple liver cyst, its rupture in the free abdominal cavity, and its presentation as an acute abdomen. Large simple liver cysts should be treated with intervention at early recognition as conservative management usually results in their recurrence.
Journal of Gastrointestinal Surgery, 2012
Objective Hemorrhage within a hepatic cyst (hemorrhagic hepatic cyst, HHC) is a complication of liver cysts that is difficult to differentiate from other neoplastic entities on imaging. Even when accurately diagnosed, there has been a lack of consensus on the optimal treatment strategy. After presenting our experience with a patient treated via laparoscopy, we aimed to conduct a review of the literature on HHCs. Methods A computerized search in Medline, PubMed, Google Scholar, and The Cochrane Collaboration was carried out for journal articles or abstracts published from 1950 to 2011. Results A total of 24 patients with HHCs were identified from 1983 to 2011. The cohort had an even gender distribution with a mean age of 62.7 years. Most patients presented with abdominal pain (80 %), while three (14 %) patients were asymptomatic at the time of presentation. CT imaging and ultrasound were unable to accurately diagnose HHC, whereas hyperintensity on MRI was a reliable diagnostic tool. Three (13 %) patients were managed conservatively with observation. Seven (30 %) patients had percutaneous transhepatic drainage. Among these, two patients experienced recurrence that required repeat treatment. Two (9 %) patients underwent open unroofing of their HHC and one (4 %) laparoscopically, without recurrences. Seven (30 %) patients underwent hepatic resection, whereas six (26 %) patients had a cyst enucleation for their HHCs. All patients had uneventful recoveries, with a mean follow-up of 25 months. Conclusions MRI is a reliable diagnostic tool in the setting of an HHC. Laparoscopic unroofing of HHCs may represent a less morbid and safe treatment modality with low recurrence rates. Given the low level of clinical evidence available so far, these results should be interpreted with caution.
Intraperitoneal rupture of hepatic hydatid cyst following blunt abdominal trauma
Apsp Journal of Case Reports, 2012
Peritonitis due to rupture of liver hydatid cyst secondary to blunt abdominal trauma can present with fatal consequences. Timely diagnosis and appropriate surgical management can be life saving. We report a case of ruptured liver hydatid cyst in the peritoneal cavity following trauma and its successful operative management in a preadolescent previously asymptomatic boy. Importance of detailed physical examination and early diagnosis by using appropriate radiological investigations is highlighted.
2019
Hepatic hydatid disease usually runs asymptomatically, while clinical features, if present, are usually due to complications that supervene. The main objective of the study is to analyse the surgical management of obstructive jaundice due to spontaneous intrabiliary rupute hydatid cysts of liver. This cross sectional study was conducted in LGH, Lahore during March 2019 to September 2019. The data was collected from 100 patients. A cyst-biliary communication was detected in 24 (21%) patients. These patients were examined in 2 groups: 15 (13%) had an occult perforation and 9 (8%) had a frank intrabiliary rupture. The data was collected from 100 patients. The age range was from 8 to 75 years (mean, 40 years). The most common presenting symptom was right upper quadrant abdominal pain. A history of jaundice was found in 9 (8%) of the patients. Thirteen patients (11%) were asymptomatic. The duration of symptoms ranged from 1 month to 7 years (median, 3 months). The disease was primary in 22 (92%) patients, and recurrent in 2 (8%). Seventeen patients (71%) had a single cyst, and 7 (29%) had multiple cysts. It is concluded that better results can be obtained by using the clinical predictors that are demonstrated in this study for the early diagnosis and proper management of an intrabiliary rupture of a hydatid cyst of the liver.
CASE REPORT: Complete Treatment of Ruptured Hepatic Cyst into Biliary Tree by ERCP
Digestive Diseases and Sciences, 2001
... Y, Ozbal O, Coker A, Ilter T, Musoglu A: Omentoplasty versus introffexion for hydatid liver cysts. JR Coll Surg Edinb 38:82–85, 1993 13. Aktan AO, Yalin R, Yegen C, Okboy N: Surgical treatment of hepatic hydatid cysts. Acta Chir Belg 93:151–153, 1993 14. Ariogul O, Emre A ...
Laparoscopic Management of Hepatic Cysts
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 2006
The present study describes the technique and evaluation of postsurgical results, hospital stay, and follow-up of patients who underwent hepatic cyst surgical treatment by laparoscopic access. Twelve patients presenting liver cystic disease were included in this research. Clinical conditions, laboratorial and radiologic examinations, surgical technique, complications, and postoperative follow-up were discussed. In our series, the morbidity rate was 25%. No mortality was observed in the postoperative period. Conversion to open surgery was necessary in 1 case, owing to hemorrhage. No recurrence was found and patients remain asymptomatic in their current follow-up. Laparoscopic resection of hepatic cyst proved to be efficient in the regression of the cysts and resulted in disappearance of symptoms.
International Surgery, 2012
The aim of this study was to review the literature regarding the rupture of hydatid cysts into the abdominal cavity after trauma. We present both a new case of hydatid cyst rupture that occurred after blunt abdominal trauma and a literature review of studies published in the English language about hydatid cyst rupture after trauma; studies were accessed from PubMed, Google Scholar, EBSCO, EMBASE, and MEDLINE databases. We identified 22 articles published between 2000 and 2011 about hydatid cyst rupture after trauma. Of these, 5 articles were excluded because of insufficient data, duplication, or absence of intra-abdominal dissemination. The other 17 studies included 68 patients (38 males and 30 females) aged 8 to 76 years who had a ruptured hydatid cyst detected after trauma. The most common trauma included traffic accidents and falls. Despite optimal surgical and antihelmintic therapy, 7 patients developed recurrence. Complications included biliary fistula in 5 patients, incisional...