A CASE OF SPONTANEOUS RUPTURE OF A GIANT HEPATIC CYST

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 67; no. 8; pp. 1853 - 1857
• Main Authors: INAGAKI, Daisuke, KUMAMOTO, Yoshikazu, KATAYAMA, Kiyohumi, SHIRAISHI, Ryuji, TANABE, Yasuhiro, TANI, Kazuyuki
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 2006
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.67.1853

Our experience with a case of spontaneous rupture of a giant hepatic cyst, which was treated by abdominal drainage followed by deroafing of the cyst, is presented. A 73-year-old woman who had taken an antiplatelet was seen at our hospital because of severe abdorminal pain starting in the morning. The patient complained of severe pain entire the abdomen, and peritoneal signs were present. Abdominal CT scan revealed a giant solitary hepatic cyst with the diameter of 12cm located in the right lobe and intra-abdominal bleeding following rupture of the hepatic cyst. An emergency operation was performed with a diagnosis of generaliqed peritonitis due to spontaneous rupture of the hepatic cyst. Upon laparotomy, hemorrhagic ascites was noted and a ruptured hepatic cyst was recognized in the right hepatic lobe. The operation was limited to abdominal drainage because she had taken an antiplatelet. After the operation, the liver cyst enlarged again, and she developed abdominal pain and dyspnea. Abdominal CT scan revealed the increased hepatic cyst with the diameter of 17cm. So we decided to treat the hepatic cyst. Deroofing of the cyst was carried out after percutaneous drainage of the liver cyst. The postoperative course was uneventful, and abdominal CT scan obtained 1 year after the operation confirmed disappearance of the cyst in the liver.