Evidence map›Paper›PMID 38428050›Full record

ArticleInternational journal of surgery case reports2024

Intrahepatic biliary cystadenoma, a challenging diagnosis and management: A case report.

Yassine Tlili, Zied Hadrich, Montacer Hafsi, Dhouha Bacha, Hafedh Mestiri, Omrani Sahir

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Article in International journal of surgery case reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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6 authors.

Yassine TliliDepartment of General Surgery, Mongi Slim University Hospital, Faculty of Medicine of Tunis, Tunisia.
Zied HadrichDepartment of General Surgery, Mongi Slim University Hospital, Faculty of Medicine of Tunis, Tunisia.
Montacer HafsiDepartment of General Surgery, Mongi Slim University Hospital, Faculty of Medicine of Tunis, Tunisia. Electronic address: Montahafsi17@gmail.com.
Dhouha BachaDepartment of General Surgery, Mongi Slim University Hospital, Faculty of Medicine of Tunis, Tunisia.
Hafedh MestiriDepartment of General Surgery, Mongi Slim University Hospital, Faculty of Medicine of Tunis, Tunisia.
Omrani SahirDepartment of General Surgery, Mongi Slim University Hospital, Faculty of Medicine of Tunis, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceBiliary cystadenoma (BC) is a benign hepatic cystic tumor with degenerative potential. Hepatic MRI can help guide the diagnosis. Surgical resection is recommended due to the malignant potential of biliary cystadenomas. Only anatomopathological examination of the surgical specimen can establish the definitive diagnosis of BC. The objective of this case report is to enhance our understanding of this disease and contribute to precise diagnosis for optimal management. CASE PRESENTATION: A 55-year-old woman with a history of hypertension and atrial fibrillation presented to the surgery department with paroxysmal right hypochondrial pain. Ultrasonography (US), computed tomography (CT), and magnetic resonance imaging (MRI) revealed a large septated cystic lesion occupying segments II, III, and IV of the liver. The patient underwent left hepatectomy without incident. The postoperative course was marked by a deep collection opposite the sectional area, which was successfully treated with antibiotics and radiological drainage. The pathological diagnosis confirmed BC without signs of malignancy, and no recurrence was detected post-surgery. CLINICAL DISCUSSION: The rarity of BC, the absence of specific clinical signs and its potential for malignant transformation, underline the need for sophisticated imaging techniques. However, preoperative radiological diagnosis does not exceed 50 %. The operative decision requires a multidisciplinary discussion between radiologists and surgeons. This case highlights the unavailability of radical surgical treatment in cases of strong preoperative suspicion of BC. The cooperation of the pathologist in the histological diagnosis is crucial.

conclusionThe diagnosis of BC should be considered in cases of multilocular cystic lesions in the liver, particularly in instances of recurrent cysts. Imaging aids in both positive and differential diagnoses. Complete resection is the recommended treatment for any suspected BC.

Indexed as

Biliary cystadenomaMalignant transformationOvarian-like stromaRadical resectionRecurrence

Identifiers

PMID38428050
PMCPMC10944128

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