Young Man With Multiple Partially Septated Cysts in the Hepatoduodenal Ligament and Retropancreatic

Abstract

The differential diagnosis of cystic liver changes includes multiple dysontogenetic cysts, liver abscesses and amoebic abscesses. Cystic changes in the abdomen with partly necrotic lymph nodes should also suggest tuberculosis, even in young and immunocompetent patients. In tuberculosis hepatoduodenal lymphadenopathies can be observed, and necrotic lymph nodes might mimic other thin-wall cystic lesions. Unexplained weight loss with clinical signs of severe infection and septicaemia also includes a differential diagnosis of consumption, i.e. miliary tuberculosis and treated immediately.