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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2015, Number 1

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Rev Esp Med Quir 2015; 20 (1)

Break and post traumatic hemorrhage of Aceptado: 16 enero, 2015 giant hepatic cyst: a case report

Buenrostro-Pérez FJ, Rodríguez-Aguirre AG

Language: Spanish
References: 13
Page: 105-110
PDF size: 481.49 Kb.


ABSTRACT

Background: The simple liver cysts are a low frequency entity in the general population, being mostly asymptomatic and arising in an exceptional way with symptoms associated with complications.
Clinical case: 82 years old female admitted with diagnostic of giant simple cyst located in the right lobe of the liver, a week later she came back subsequent to fall of its own plane with data of acute abdomen and broken liver cyst towards peritoneal cavity and intracystic hemorrhage. The incidence has been estimated at 2-7%, most frequently in women 4:1, predominance in right lobe and fourth- fifth decades of life. The complications of liver cysts are uncommon. The spontaneous rupture is an extremely rare complication and may be preceded by intracystic hemorrhage which increases intracystic pressure. The published series report the spontaneous rupture as the more frequent, we found only a report of rupture secondary to trauma. Hemorrhage is the complication that traditionally has been considered the least common, which can be intracystic or free to the peritoneal cavity. The management of these complications is usually done with urgent surgical treatment although there are reports of rupture and intracystic hemorrhage that have been managed conservatively.
Conclusion: The giant liver cyst even those asymptomatic, should be handled with an early surgery because of the high risk of complications.


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