Evidence map›Paper›PMID 41836895›Full record

ArticleJournal of surgical case reports2026

Mucinous cystic neoplasm of the liver with biliary communication: a great imitator, diagnostic dilemma and surgical challenge.

Elizabeth M Hines, Jack Butler, Lovell Aseervatham

Abstract readCase Reports
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Elizabeth M HinesDepartment of General Surgery, Sunshine Coast University Hospital, 6 Doherty St Birtinya, Brisbane, QLD 4575, Australia.ORCID https://orcid.org/0000-0002-9749-4013
Jack ButlerPathology Queensland, Anatomical Pathology, Sunshine Coast University Hospital, 6 Doherty St Birtinya, Brisbane, QLD 4575, Australia.
Lovell AseervathamDepartment of General Surgery, Sunshine Coast University Hospital, 6 Doherty St Birtinya, Brisbane, QLD 4575, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mucinous cystic neoplasms of the liver (MCN-L) are rare tumours. We report a challenging case initially characterized as hydatid cyst. The patient underwent initial pericystectomy converted to completion left hepatectomy for definitive management. Histopathology confirmed MCN-L with focal high-grade dysplasia. Crucially, the resection specimen revealed a previously unrecognized finding: direct cyst rupture into the biliary tree, associated with bile encrustation, calculi formation, and inflammation. This case highlights that MCN-L can clinically and radiologically mimics other cystic liver lesions, necessitating histopathology for definitive diagnosis. The phenomenon of biliary communication and its sequelae are not readily accounted for in the current World Health Organization essential diagnostic criteria for MCN-L. Such cases may warrant the allowance of biliary communication within diagnostic criteria, to better reflect the spectrum of this lesion and avoid diagnostic pitfalls. Complete surgical excision is the mainstay of therapy, with long-term surveillance being essential, particularly in neoplasms with high-grade dysplasia.

Indexed as

cystic liver lesionshepatectomyhepatobiliary surgeryhydatid cystintraductal papillary neoplasms of the bile duct (IPN-B)misdiagnosismucinous cystic neoplasm of the liver (MCN-L)pericystectomy

Identifiers

PMID41836895
PMCPMC12981661

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.