2017, Number 1
Giant hepatic cyst. Benefits of minimal access surgery
Pérez PY, Romero FJR, Arcos VB
Full text
Language: Spanish
References: 5
Page: 49-53
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ABSTRACT
Introduction: The first case of hepatic cysts was reported in 1856; nevertheless, it is still considered a rare entity; its diagnosis usually occurs as an imaging finding. Most simple liver cysts do not require treatment. The presence of cyst-related symptoms such as enlargement or complications secondary to injury is an indication for surgical management. We report the case of a patient with the diagnosis of a giant hepatic cyst, analyzing the benefits of minimal access surgery. Case report: This was a 70-year-old female with diabetes mellitus, hypertension and a cesarean section as the main data in her clinical history. She initiated with abdominal pain for the last 15 days, predominantly in the right hypochondrium, accompanied with postprandial fullness. The findings on the physical examination were abdominal distension and a mass approximately 10 cm below the right costal margin, painful to mild palpation. The hematic biometry reported only leukocytosis, and the rest within normal parameters. Abdomen ultrasound and tomography showed a hepatic tumor that corresponded to the segments IV-VIII of Couinaud, of approximately 15 × 10 cm, cystic and hypodense. The surgical approach chosen was minimal access surgery, in which a total cyst resection was performed. The dimensions of the cystic lesion were 25 × 24 × 20 cm, with a histopathology report of a hepatic cyst. Conclusion: The minimal access surgery of giant hepatic cysts decreases the hospital stay, the rate of recurrence and the time of convalescence.REFERENCES