ArticleAnnals of medicine and surgery (2012)2026
Simple hepatic cyst is not always simple - a case report of cystobiliary communication requiring hepatic resection.
Article in Annals of medicine and surgery (2012), 2026. 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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Abstract
Background: Simple hepatic cysts are common and usually asymptomatic, but rarely may communicate with the intrahepatic biliary tree; unroofing alone can then result in postoperative bile leakage if this communication is not recognized. Case presentation: We report a 74-year-old woman with multiple hepatic cysts, the largest measuring 11 cm and causing extrinsic gastric compression. Preoperative computed tomography (CT) suggested a simple cyst without evidence of biliary communication, and laparoscopic unroofing was planned. Needle decompression, however, yielded bile-like fluid indicating unsuspected cystobiliary communication; the procedure was therefore converted to laparoscopic left lateral sectionectomy. Her postoperative course was uneventful, without bile leakage. Conclusion: In conclusion, a preoperatively "simple" hepatic cyst may harbor unsuspected cystobiliary communication that CT alone can miss. Intraoperative vigilance and willingness to convert to formal resection are essential when this complication is encountered.
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