Abstracts from XVII Mexican Congress of Hepatology
Más datosHepatic cysts are rare, with a prevalence between 0.1 to 0.5%. They are divided into parasitic and non-parasitic, being more common than the last ones. They can be subdivided into simple (<5% of the population) or multiple.
Case Report46-year-old woman with no relevant history. She comes due to an increase in abdominal perimeter of 4 months of evolution and weight loss of 9kg in 4 months; asthenia, adynamia, early satiety, postprandial fullness and abdominal pain in the right upper quadrant, oppressive, intensity 9/10, exacerbated by mobilization. CT scan with a giant liver cyst of 219 × 166 × 239mm, a volume of 4544cc. Alkaline phosphatase and GGT >3 times their normal value. She was admitted for percutaneous drainage placement, with a total output of 7480cc and biochemical and clinical improvement, without complications.
DiscussionSimple cysts occur in people over 40 years of age, more frequently in women (4:1 ratio). The differential diagnosis includes liver abscess, tumor, hemangioma, hematoma, parasitic cyst, and polycystosis. They are easy to distinguish by image as they are well-defined; they contain serous fluid and lack septa, papillary projections, and calcifications. They are considered giants when measuring>5 cm and their treatment is only indicated in symptomatic patients, with pain being the usual. Percutaneous drainage has little morbidity and improves compression symptoms. However, recurrence is high (almost 100%), so the administration of a sclerosing agent is recommended.
ConclusionsConservative procedures have high recurrence rates, so systematized laparoscopic surgery is a good option for definitive treatment.
FundingThe resources used in this study were from the hospital without any additional financing
Declaration of interestThe authors declare no potential conflicts of interest.