Аннотация
The paper describes a rare case of a non-parasitic giant cyst of the liver, the volume of the cyst was 9 liters and it caused deviation of the surrounding organs. Elective operation was performed through a mid laparotomy approach. A giant liver cyst occupied the right half of the abdominal cavity, descended to the small pelvis, and was in strong adhesions with omentum, large pelvis, stomach, and transverse colon. The cyst was emptied, 9 liters of oozing contents were obtained. The walls of the giant cyst were excised as much as possible, sutured, and the remaining small cavity was drained after treatment with a concentrated betadine solution. The operation was performed without complications. No postoperative complications were noted. The patient spent 6 days in the clinic. 8 weeks after the operation, the patient underwent a control ultrasound: no fluid collection in the abdominal cavity or liver was noted. Histopathological findings: simple giant liver cyst.
Библиографические ссылки
Marrero JA, Ahn J, Rajender Reddy K., Americal College of Gastroenterology. ACG clinical guideline: the diagnosis and management of focal liver lesions. Am J Gastroenterol. 2014 Sep;109(9):1328-47; quiz 1348.
Ismali KA, Mousa GI, El Khadrawy OH, Mohamed HA. Symptomatic non- parasitic benign hepatic cyst: Evaluation of management by deroofing in ten consecutivecases. Ann Paed Surg. 2010;6(2):83–89.
Jackson HH, Mulvihill SJ. Hepatic cysts. available at http;//emedicine medscape.com/article/190818-overwiew. Updated March 11 2010.
Ozbalci GS, Taurikulu Y, Erel S, Kismet K, Akkus MA. Giant simple hepatic cyst (A case report) and Review of Literature. Eur J Surg Sci. 2010;1(2):53–57.
Benhamon JP, Menu Y. Non-parasitic cystic disease of the liver and intrahepatic biliary tree. In: Blumgart LH,editor. Surgery of the liver and biliary tract. 2nd edition. New York: Churchhill Livingstone Inc; 1994. p. 1197.
Yawai H, Tada N. A simple hepatic cyst with elevated serum and cyst fluid CA19-9 levels: a case report. J Med Case Report. 2008;2:329.
Heap M, Seeger A, Hass CS. Giant solitary hepatic cyst. Liver Int. 2008;28:840.
Mazza OM, Fernandez DL, Pekoli J, Pfaffen G, Sanchez CR, Molmenti EP, de Santibanes E. Management of nonparasitic hepatic cysts. J Am Coll Surg. 2009;209(6):733–739.
Tucker ON, Smith J, Fenlon HM, McEntee GP. Giant solitary non-parasitic cyst of the liver. Ir J Med Sci. 2005;174(2):60–62.
Mekeel KL, Moss AA, Reddy KS, Mulligan DC, Harold KL. Laparoscopic fenestration of giant hepatic cyst. Surg Laparos Endos Percutan Tech. 2008;18:511–513.