Laparoscopy-assisted extended right hepatectomy for giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma: a case report
Abstract Background Hemorrhagic hepatic cysts infrequently involve several iconographic changes requiring a differential diagnosis, primarily with a cystic malignancy. We herein report a case of laparoscopy-assisted extended right hepatectomy for a giant hemorrhagic hepatic cyst with an enhancing mu...
Saved in:
| Main Authors: | , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Japan Surgical Society
2019-04-01
|
| Series: | Surgical Case Reports |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s40792-019-0621-x |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1839597885179559936 |
|---|---|
| author | Yasunari Fukuda Tadafumi Asaoka Hidetoshi Eguchi Keiichiro Honma Eiichi Morii Yoshifumi Iwagami Hirofumi Akita Takehiro Noda Kunihito Gotoh Shogo Kobayashi Masaki Mori Yuichiro Doki |
| author_facet | Yasunari Fukuda Tadafumi Asaoka Hidetoshi Eguchi Keiichiro Honma Eiichi Morii Yoshifumi Iwagami Hirofumi Akita Takehiro Noda Kunihito Gotoh Shogo Kobayashi Masaki Mori Yuichiro Doki |
| author_sort | Yasunari Fukuda |
| collection | DOAJ |
| description | Abstract Background Hemorrhagic hepatic cysts infrequently involve several iconographic changes requiring a differential diagnosis, primarily with a cystic malignancy. We herein report a case of laparoscopy-assisted extended right hepatectomy for a giant hemorrhagic hepatic cyst with an enhancing mural nodule that was clinically suspected of being biliary cystadenocarcinoma. Case presentation A 73-year-old woman was followed up for giant hepatic cyst occupying the right lobe of the liver. During the follow-up, an enhancing mural nodule was newly noted on computed tomography in 2016. Based on additional clinical examinations, biliary cystadenocarcinoma was undeniable, and laparoscopy-assisted extended right hepatectomy was performed for diagnostic and therapeutic purposes. She had no perioperative complications and was discharged on postoperative day 13. A histological examination of the mural nodule showed neovascularization within an organized hematoma. Conclusion We herein report a rare case of giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma that was successfully treated with laparoscopy-assisted extended right hepatectomy. Laparoscopic surgery in our case was an effective procedure performed with the utmost care. |
| format | Article |
| id | doaj-art-bbb16a90ce6c4ce7adcbe6b936b10d02 |
| institution | Matheson Library |
| issn | 2198-7793 |
| language | English |
| publishDate | 2019-04-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-bbb16a90ce6c4ce7adcbe6b936b10d022025-08-02T17:59:44ZengJapan Surgical SocietySurgical Case Reports2198-77932019-04-01511610.1186/s40792-019-0621-xLaparoscopy-assisted extended right hepatectomy for giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma: a case reportYasunari Fukuda0Tadafumi Asaoka1Hidetoshi Eguchi2Keiichiro Honma3Eiichi Morii4Yoshifumi Iwagami5Hirofumi Akita6Takehiro Noda7Kunihito Gotoh8Shogo Kobayashi9Masaki Mori10Yuichiro Doki11Department of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Pathology, Graduate School of Medicine, Osaka UniversityDepartment of Pathology, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityDepartment of Gastroenterological Surgery, Graduate School of Medicine, Osaka UniversityAbstract Background Hemorrhagic hepatic cysts infrequently involve several iconographic changes requiring a differential diagnosis, primarily with a cystic malignancy. We herein report a case of laparoscopy-assisted extended right hepatectomy for a giant hemorrhagic hepatic cyst with an enhancing mural nodule that was clinically suspected of being biliary cystadenocarcinoma. Case presentation A 73-year-old woman was followed up for giant hepatic cyst occupying the right lobe of the liver. During the follow-up, an enhancing mural nodule was newly noted on computed tomography in 2016. Based on additional clinical examinations, biliary cystadenocarcinoma was undeniable, and laparoscopy-assisted extended right hepatectomy was performed for diagnostic and therapeutic purposes. She had no perioperative complications and was discharged on postoperative day 13. A histological examination of the mural nodule showed neovascularization within an organized hematoma. Conclusion We herein report a rare case of giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma that was successfully treated with laparoscopy-assisted extended right hepatectomy. Laparoscopic surgery in our case was an effective procedure performed with the utmost care.http://link.springer.com/article/10.1186/s40792-019-0621-xHemorrhagic hepatic cystOrganized hematomaNeovascularizationLaparoscopy-assisted surgery |
| spellingShingle | Yasunari Fukuda Tadafumi Asaoka Hidetoshi Eguchi Keiichiro Honma Eiichi Morii Yoshifumi Iwagami Hirofumi Akita Takehiro Noda Kunihito Gotoh Shogo Kobayashi Masaki Mori Yuichiro Doki Laparoscopy-assisted extended right hepatectomy for giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma: a case report Surgical Case Reports Hemorrhagic hepatic cyst Organized hematoma Neovascularization Laparoscopy-assisted surgery |
| title | Laparoscopy-assisted extended right hepatectomy for giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma: a case report |
| title_full | Laparoscopy-assisted extended right hepatectomy for giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma: a case report |
| title_fullStr | Laparoscopy-assisted extended right hepatectomy for giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma: a case report |
| title_full_unstemmed | Laparoscopy-assisted extended right hepatectomy for giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma: a case report |
| title_short | Laparoscopy-assisted extended right hepatectomy for giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma: a case report |
| title_sort | laparoscopy assisted extended right hepatectomy for giant hemorrhagic hepatic cyst mimicking biliary cystadenocarcinoma a case report |
| topic | Hemorrhagic hepatic cyst Organized hematoma Neovascularization Laparoscopy-assisted surgery |
| url | http://link.springer.com/article/10.1186/s40792-019-0621-x |
| work_keys_str_mv | AT yasunarifukuda laparoscopyassistedextendedrighthepatectomyforgianthemorrhagichepaticcystmimickingbiliarycystadenocarcinomaacasereport AT tadafumiasaoka laparoscopyassistedextendedrighthepatectomyforgianthemorrhagichepaticcystmimickingbiliarycystadenocarcinomaacasereport AT hidetoshieguchi laparoscopyassistedextendedrighthepatectomyforgianthemorrhagichepaticcystmimickingbiliarycystadenocarcinomaacasereport AT keiichirohonma laparoscopyassistedextendedrighthepatectomyforgianthemorrhagichepaticcystmimickingbiliarycystadenocarcinomaacasereport AT eiichimorii laparoscopyassistedextendedrighthepatectomyforgianthemorrhagichepaticcystmimickingbiliarycystadenocarcinomaacasereport AT yoshifumiiwagami laparoscopyassistedextendedrighthepatectomyforgianthemorrhagichepaticcystmimickingbiliarycystadenocarcinomaacasereport AT hirofumiakita laparoscopyassistedextendedrighthepatectomyforgianthemorrhagichepaticcystmimickingbiliarycystadenocarcinomaacasereport AT takehironoda laparoscopyassistedextendedrighthepatectomyforgianthemorrhagichepaticcystmimickingbiliarycystadenocarcinomaacasereport AT kunihitogotoh laparoscopyassistedextendedrighthepatectomyforgianthemorrhagichepaticcystmimickingbiliarycystadenocarcinomaacasereport AT shogokobayashi laparoscopyassistedextendedrighthepatectomyforgianthemorrhagichepaticcystmimickingbiliarycystadenocarcinomaacasereport AT masakimori laparoscopyassistedextendedrighthepatectomyforgianthemorrhagichepaticcystmimickingbiliarycystadenocarcinomaacasereport AT yuichirodoki laparoscopyassistedextendedrighthepatectomyforgianthemorrhagichepaticcystmimickingbiliarycystadenocarcinomaacasereport |