Abstract
Biliary cystadenoma is a rare cystic tumor; prognosis is dependent on the completeness of the surgical resection. The case of a 65-year-old woman with a multilocular cystic hepatic tumor is reported. Radiological and laboratory findings suggested the diagnosis of cystadenoma with localized malignant degeneration. A surgical resection of hepatic Segment I was performed, requiring total vascular exclusion (TVE) of the liver and a needle aspiration of a non-degenerated cyst to permit total resection. TVE and decompression of a cyst presumed to be benign may be warranted to achieve a safe and complete resection of biliary cystadenoma.
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