Symptomatic Liver Cyst Successfully Treated with Transgastric Drainage and Sclerotherapy Using Minocycline Hydrochloride

A liver cyst is hepatic fluid-filled cavities often detected in clinical surveillances such as a health examination. Although the liver cyst is usually asymptomatic and observed without any therapeutic intervention, it can be symptomatic and needs treatment due to its enlargement, hemorrhage, and in...

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Published inCase reports in gastrointestinal medicine Vol. 2024; pp. 6942345 - 7
Main Authors Yoshitomi, Kengo, Koya, Yudai, Miyagawa, Koichiro, Maruno, Yuki, Yamaguchi, Koki, Taniguchi, Ryuta, Onitsuka, Koji, Sakamoto, Yoshitaka, Oe, Shinji, Harada, Masaru
Format Journal Article
LanguageEnglish
Published United States Hindawi 2024
Hindawi Limited
Wiley
Subjects
Abdomen
Antibiotics
Antigens
Biochemistry
Biomarkers
Blood
Case Report
Catheters
Cysts
Dehydrogenases
Hematology
Infections
Leukocytes
Liver
Medical imaging
Patients
Proteins
Sclerotherapy
Stents
Surgery
Ultrasonic imaging
Veins & arteries
United States > US
Japan
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Abstract A liver cyst is hepatic fluid-filled cavities often detected in clinical surveillances such as a health examination. Although the liver cyst is usually asymptomatic and observed without any therapeutic intervention, it can be symptomatic and needs treatment due to its enlargement, hemorrhage, and infection. A 74-year-old woman presented with upper abdominal pain and a huge liver cyst in the left lobe. Several examinations including image findings revealed that the symptom could be derived from the liver cyst. Although there is no definite guideline of treatment for symptomatic liver cysts, percutaneous ultrasound-guided drainage with sclerotherapy or surgery is often selected. Because of anatomical accessibility to the liver cyst and the patient’s wish, we performed endoscopic transgastric drainage with insertion of both an internal stent and an external nasocystic tube. Sclerotherapy with minocycline hydrochloride was performed through the nasocystic tube, and the liver cyst shrunk completely without any complications. This is the first reported method of administering minocycline hydrochloride through a nasocystic tube, which can be a therapeutic option for patients with symptomatic liver cysts.
AbstractList A liver cyst is hepatic fluid-filled cavities often detected in clinical surveillances such as a health examination. Although the liver cyst is usually asymptomatic and observed without any therapeutic intervention, it can be symptomatic and needs treatment due to its enlargement, hemorrhage, and infection. A 74-year-old woman presented with upper abdominal pain and a huge liver cyst in the left lobe. Several examinations including image findings revealed that the symptom could be derived from the liver cyst. Although there is no definite guideline of treatment for symptomatic liver cysts, percutaneous ultrasound-guided drainage with sclerotherapy or surgery is often selected. Because of anatomical accessibility to the liver cyst and the patient’s wish, we performed endoscopic transgastric drainage with insertion of both an internal stent and an external nasocystic tube. Sclerotherapy with minocycline hydrochloride was performed through the nasocystic tube, and the liver cyst shrunk completely without any complications. This is the first reported method of administering minocycline hydrochloride through a nasocystic tube, which can be a therapeutic option for patients with symptomatic liver cysts.
A liver cyst is hepatic fluid-filled cavities often detected in clinical surveillances such as a health examination. Although the liver cyst is usually asymptomatic and observed without any therapeutic intervention, it can be symptomatic and needs treatment due to its enlargement, hemorrhage, and infection. A 74-year-old woman presented with upper abdominal pain and a huge liver cyst in the left lobe. Several examinations including image findings revealed that the symptom could be derived from the liver cyst. Although there is no definite guideline of treatment for symptomatic liver cysts, percutaneous ultrasound-guided drainage with sclerotherapy or surgery is often selected. Because of anatomical accessibility to the liver cyst and the patient's wish, we performed endoscopic transgastric drainage with insertion of both an internal stent and an external nasocystic tube. Sclerotherapy with minocycline hydrochloride was performed through the nasocystic tube, and the liver cyst shrunk completely without any complications. This is the first reported method of administering minocycline hydrochloride through a nasocystic tube, which can be a therapeutic option for patients with symptomatic liver cysts.A liver cyst is hepatic fluid-filled cavities often detected in clinical surveillances such as a health examination. Although the liver cyst is usually asymptomatic and observed without any therapeutic intervention, it can be symptomatic and needs treatment due to its enlargement, hemorrhage, and infection. A 74-year-old woman presented with upper abdominal pain and a huge liver cyst in the left lobe. Several examinations including image findings revealed that the symptom could be derived from the liver cyst. Although there is no definite guideline of treatment for symptomatic liver cysts, percutaneous ultrasound-guided drainage with sclerotherapy or surgery is often selected. Because of anatomical accessibility to the liver cyst and the patient's wish, we performed endoscopic transgastric drainage with insertion of both an internal stent and an external nasocystic tube. Sclerotherapy with minocycline hydrochloride was performed through the nasocystic tube, and the liver cyst shrunk completely without any complications. This is the first reported method of administering minocycline hydrochloride through a nasocystic tube, which can be a therapeutic option for patients with symptomatic liver cysts.
Author Miyagawa, Koichiro
Oe, Shinji
Yoshitomi, Kengo
Yamaguchi, Koki
Harada, Masaru
Taniguchi, Ryuta
Koya, Yudai
Sakamoto, Yoshitaka
Maruno, Yuki
Onitsuka, Koji
AuthorAffiliation 3 Department of Surgery, Kyushu Rosai Hospital, Moji Medical Center, Kitakyushu, Japan
2 The Third Department of Internal Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu, Japan
1 Department of Gastroenterology, Kyushu Rosai Hospital, Moji Medical Center, Kitakyushu, Japan
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Copyright Copyright © 2024 Kengo Yoshitomi et al.
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Snippet A liver cyst is hepatic fluid-filled cavities often detected in clinical surveillances such as a health examination. Although the liver cyst is usually...
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StartPage 6942345
SubjectTerms Abdomen
Antibiotics
Antigens
Biochemistry
Biomarkers
Blood
Case Report
Catheters
Cysts
Dehydrogenases
Hematology
Infections
Leukocytes
Liver
Medical imaging
Patients
Proteins
Sclerotherapy
Stents
Surgery
Ultrasonic imaging
Veins & arteries
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Title Symptomatic Liver Cyst Successfully Treated with Transgastric Drainage and Sclerotherapy Using Minocycline Hydrochloride
URI https://dx.doi.org/10.1155/2024/6942345
https://www.ncbi.nlm.nih.gov/pubmed/38273972
https://www.proquest.com/docview/2919194177
https://www.proquest.com/docview/2929067764
https://pubmed.ncbi.nlm.nih.gov/PMC10807977
https://doaj.org/article/bb4309b8d125404a9738425b1d1eb77f
Volume 2024
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