Abstract
Giant cysts of the liver are uncommon. Symptoms are related primarily to the mass effect of the enlarging cyst. To highlight the challenges of management of giant simple hepatic cyst in a resource limited setting. Presented is a 58-year-old seamstress with a 5-year history of an enlarging abdominal mass with easy satiety. Surgery revealed an exophytic giant simple hepatic cyst arising from liver segment IV that drained 4.6 litres of serous fluid. Simple hepatic cyst can attain giant dimensions and should be considered in the differential diagnosis of intraabdominal masses.
Highlights
The term hepatic cyst usually refers to solitary non-parasitic cysts of the liver known as simple cysts[1,2]
The optimal management of non-parasitic hepatic cyst is a topic of debate[5]
We report a case of giant hepatic cyst that presented with an abdominal mass with gross disten
Summary
The term hepatic cyst usually refers to solitary non-parasitic cysts of the liver known as simple cysts[1,2]. The cause of simple liver cysts is not known, but they are believed to be congenital in origin[1]. Simple hepatic cysts rarely cause symptoms, they become symptomatic due to mass effect, rupture, haemorrhage, and infection. The optimal management of non-parasitic hepatic cyst is a topic of debate[5]. We report a case of giant hepatic cyst that presented with an abdominal mass with gross disten-. Symptoms are related primarily to the mass effect of the enlarging cyst. Objective: To highlight the challenges of management of giant simple hepatic cyst in a resource limited setting. Surgery revealed an exophytic giant simple hepatic cyst arising from liver segment IV that drained 4.6 litres of serous fluid. Conclusion: Simple hepatic cyst can attain giant dimensions and should be considered in the differential diagnosis of intra-abdominal masses.
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