Large simple hepatic cysts leading to gastric fundal varices in a noncirrhotic patient

A 74-year-old noncirrhotic woman presented with abdominal distension and pain in the right hypochondrium. Contrast-enhanced computed tomography (CT) demonstrated multiple large simple liver cysts occupying the right lobe of the liver, the largest of which was 19 cm in diameter. Gastric varices were...

Full description

Saved in:
Bibliographic Details
Published inFukuoka igaku zasshi = Hukuoka acta medica Vol. 104; no. 11; p. 449
Main Authors Kinjo, Nao, Yano, Hiroko, Sugimachi, Keishi, Tanaka, Junko, Tanaka, Kiyoshi, Saeki, Hiroshi, Tsukamoto, Shuichi, Mimori, Koshi, Kawanaka, Hirofumi, Ikebe, Masahiko, Morita, Masaru, Ikeda, Tetsuo, Mu, Shinsuke, Higashi, Hidefumi, Maehara, Yoshihiko
Format Journal Article
LanguageEnglish
Published Japan 25.11.2013
Subjects
Aged
Argon Plasma Coagulation - methods
Balloon Occlusion - methods
Cysts - complications
Cysts - diagnosis
Cysts - diagnostic imaging
Cysts - surgery
Endoscopy, Digestive System
Esophageal and Gastric Varices - diagnosis
Esophageal and Gastric Varices - etiology
Esophageal and Gastric Varices - surgery
Female
Gastric Fundus
Humans
Liver Diseases - complications
Liver Diseases - diagnosis
Liver Diseases - diagnostic imaging
Liver Diseases - surgery
Tomography, X-Ray Computed
Treatment Outcome
Online AccessGet more information

Cover

More Information
Summary:A 74-year-old noncirrhotic woman presented with abdominal distension and pain in the right hypochondrium. Contrast-enhanced computed tomography (CT) demonstrated multiple large simple liver cysts occupying the right lobe of the liver, the largest of which was 19 cm in diameter. Gastric varices were enhanced in the fundus of the stomach. The patient underwent surgery to deroof the hepatic cysts with ablation using argon beam coagulation. Esophagogastroduodenoscopy (EGD) showed that the portal hypertensive gastropathy was ameliorated after the operation; however, the fundal varices were only slightly decreased. After the operation, we observed that the hepatic vein waveform gradually changed from a gently curved pattern to a normal triphasic pattern. We treated the fundal varices with balloon-occluded retrograde transvenous obliteration 3 months after the initial operation. We describe our successful treatment of this rare case and discuss the utility of hepatic vein waveform analysis in the study of portal hypertension.
ISSN:0016-254X