Case Report of Large Simple Hepatic cyst (original) (raw)
Most liver cysts are benign, even though early diagnosis plays vital role for proper treatment of parasitic or cancerous subtypes. Simple hepatic cysts may be isolated or multiple and may vary from a few millimeters to several centimeters in diameter. Giant cysts of the liver are uncommon. A 60 years female patient was malnourished and pale. Vitals were stable. On per abdomen examination, a mass felt in right hypochondria region extended up to right lumbar region associated with tenderness, firm in consistency. On percussion it was dull. CT scan revealed a large hypodense lesion in segment VI & VII completely replacing and compressing the right lobe of liver, measuring approximately 21 X 13 cm. No evidence of obvious calcifications. During surgery, large hepatic cyst was noted involving right lobe and left lobe of liver and right dome of diaphragm. Falciparum ligament appears thinner than usual. From this hepatic cyst 2.5 liters of fluid was drained out. Histopathological findings noted were cyst wall showing fibrous tissue, lymphocytes, small ducts lined by cuboidal epithelium and few hepatocytes attached to cyst wall suggestive of simple hepatic cyst. Accurate diagnosis will help for prompt management. Even though most of the hepatic cysts are benign, better to undergo investigations such as CT, Histopathology examination to rule out differential diagnosis and to alleviate any further complications.
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