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2026, Number 1

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Invest Med ISSSTE 2026; 1 (1)

Surgical approach and follow-up of giant liver cysts in older adults. Case report

Coello-Uribe GJ, González-Espinosa I, Serna-Delgado IO, Gómez-Narváez DN, Nieves-Arellano A
Full text How to cite this article 10.35366/121748

DOI

DOI: 10.35366/121748
URL: https://dx.doi.org/10.35366/121748

Language: Spanish
References: 10
Page: 37-40
PDF size: 585.01 Kb.


Key words:

giant hepatic cyst, laparoscopic surgery, marsupialization, percutaneous drainage, pigtail catheter, elderly.

ABSTRACT

Hepatic cysts are rare lesions. Most are asymptomatic and do not require treatment. However, when they grow large, they usually produce symptoms and require definitive resolution. Among the various surgical techniques described, laparoscopic unroofing is currently considered the technique of choice. We present the case of a female patient with a giant hepatic cyst measuring approximately 6,000 mL, presenting with postprandial pain and fullness. Due to the high risk of rupture, we placed a pigtail catheter for controlled outpatient drainage and subsequent laparoscopic unroofing and marsupialization; the procedure was successful, with no reported complications.


REFERENCES

  1. Rodríguez-García HA, Gudiño-Chávez J, Aldrete-Velasco JA, Leal-Delgado MA, Michel-Manzo JB. Quiste hepático gigante sintomático: reporte de caso y revisión de la literatura. Cir Endosc. 2017; 19 (1): 35-39.

  2. González SB, Vázquez AM, Ramia Ángel JM. Manejo ante rotura espontánea de quiste hepático simple: una rara complicación. Cir Andal. 2020;31(3):330-332. doi: 10.37351/2020313.16.

  3. Brunicardi FC, Andersen DK, Billiar TR, Dunn DL, Kao LS, Hunter JG, et al. Schwartz's principles of surgery. 11th ed. New York: McGraw-Hill Education; 2019.

  4. Ruiz-Tovar J, López-Buenadicha A, Moreno-Caparros A, Nuño Vázquez-Garza J. Manejo quirúrgico de los quistes hepáticos simples. Cir Cir. 2012;80:52-55. Disponible en: https://www.medigraphic.com/pdfs/circir/cc-2012/cc121i.pdf

  5. Allue M, Palacios P, Jimenez A. Cuándo y cómo tratar los quistes hepáticos gigantes sintomáticos. Gastroenterol Hepatol. 2020;44(3):226-228. Disponible en: https://doi.org/10.1016/j.gastrohep.2020.06.018

  6. Kersik A, Galassi L, Colombo G, et al. Laparoscopic deroofing of simple liver cysts: do ancillary techniques, surgical devices, and indocyanine green improve outcomes? Eur Surg. 2023;55:100-106. Available in: https://doi.org/10.1007/s10353-023-00798-8

  7. Chenin M, Paisant A, Lebigot J, Bazeries P, Debbi K, Ronot M, et al. Cystic liver lesions: a pictorial review. Insights Imaging. 2022;13(1):123. Available in: https://doi.org/10.1186/s13244-022-01242-3

  8. Coto JFN, Muñoz MP, Arguedas RAR. Manejo laparoscópico de un quiste hepático gigante. Rev Med Sinergia. 2022;7(5):e786. Disponible en: https://doi.org/10.31434/rms.v7i5.806

  9. Asuquo M, Nwagbara V, Agbor C, Otobo F, Omotoso A. Giant simple hepatic cyst: a case report and review of relevant literature. Afr Health Sci. 2015;15(1):293-298. Available in: https://doi.org/10.4314/ahs.v15i1.40

  10. Díaz-Girón GA, González-Chávez MA, González HCD, Vélez-Pérez FM, Espino-Urbina L, Visag-Castillo V, et al. Quiste hepático gigante simple: Reporte de un caso y revisión de la literatura. Fundación Clínica Médica Sur, México. Rev Invest Med Sur Mex. 2015; 22 (2): 94-98




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Invest Med ISSSTE. 2026;1