Spontaneous rupture of a large non-parasitic liver cyst: a case report

Lazaros Miliadis,Georgios Boutsikos,Ioannis Terzis,Ioannis D Kyriazanos,Triantafillos Giannakopoulos

doi:10.1186/1752-1947-4-2

Lazaros Miliadis, Georgios Boutsikos + Show 3 more

Open Access

https://doi.org/10.1186/1752-1947-4-2

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Abstract

IntroductionNon-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 presentationWe 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.ConclusionsWe 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.

Highlights

Non-parasitic hepatic cysts are benign entities, occur rarely (5% of the population), and in the majority of cases, are asymptomatic
In this report we present the case of a 70-year-old man who was admitted to our hospital with diffuse abdominal pain after the spontaneous rupture of a large non-parasitic hepatic cyst
Ultrasonography can contribute in differential diagnosis because apart from its imaging characteristics, it can support the performance of a cytologic diagnosis

Summary

Conclusions

Spontaneous rupture of simple liver cysts is a rare complication which can mimic acute abdomen. 5. Akriviadis EA, Steindel H, Ralls P, Redekev AG: Spontaneous rupture of non-parasitic cyst of the liver. Gigot JF, Legrand M, Hubens G, de Canniere L, Wibin E, Deweer F, Druart ML, Bertrand C, Devriendt H, Droissart R, Tugilimana M, Hauters P, Vereecken L: Laparoscopic treatment of non-parasitic liver cysts: adequate selection of patients and surgical technique. Salemis SN, Georgoulis E, Gourgiotis S, Tsohataridis E: Spontaneous rupture of a giant non-parasitic hepatic cyst presenting as an acute surgical abdomen. Doi:10.1186/1752-1947-4-2 Cite this article as: Miliadis et al.: Spontaneous rupture of a large nonparasitic liver cyst: a case report. IT and IDK were the operating surgeons of the patient They made substantial contributions in the conception and design of the manuscript. Competing interests The authors declare that they have no competing interests

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