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Seo, Oh, Jeon, Seo, Shin, and Choi: A Case of Hepatic Peribiliary Cysts in a Patient with Alcoholic Liver Cirrhosis
Case Report
The Korean Journal of Gastroenterology

The Korean Journal of Gastroenterology 2012; 60(2): 119-122.

Published online: 22 August 2012

DOI: https://doi.org/10.4166/kjg.2012.60.2.119

A Case of Hepatic Peribiliary Cysts in a Patient with Alcoholic Liver Cirrhosis

Ji Young Seo, Tae Hoon Oh, Tae Joo Jeon, Dong Dae Seo, Won Chang Shin, Won-Choong Choi

Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.

Correspondence to: Tae Hoon Oh, Division of Gastroenterology, Department of Internal Medicine, Inje University Sanggye Paik Hospital, 1342 Dongil-ro, Nowon-gu, Seoul 139-707, Korea. Tel: +82-2-950-8867, Fax: +82-2-950-1955, osbbang@paik.ac.kr

Received 30 March 2011       Revised 20 July 2011       Accepted 26 July 2011

Copyright © 2012 The Korean Society of Gastroenterology

(open-access):

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Hepatic peribiliary cysts (HPCs) are characterized by cystic dilatations of the peribiliary glands located throughout the branches of the biliary systems. Specifically, they are mainly located along the hepatic hilum and major portal tracts. The natural history and prognosis of HPCs are uncertain. In fact, almost all HPCs have been discovered incidentally during radiological examination or autopsy, and they are considered to be clinically harmless. Recently, several cases of HPCs associated with obstructive jaundice or liver failure were reported in patients with pre-existing liver disease in several studies. However, until now there have been no reports of such a case in Korea. Herein, we report a case of HPCs that show a disease course with a poor prognosis. These HPCs developed in a 47-year-old man with progressive alcoholic liver cirrhosis.

Keywords: Liver, Peribiliary cyst, Alcoholic liver cirrhosis

Figures and Tables

Fig. 1
Coronary view of abdominal computed tomography showed cirrhotic liver and ascites without hepatic peribiliary cysts.
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Fig. 2
Serial changes of follow-up abdominal computed tomography imaging. (A) Multiple, variable sized cystic lesions in the hepatic hilum and the large portal tracts (black arrows) were newly noted at the time of 38 months after diagnosis of alcoholic liver cirrhosis. (B) Hepatic peribiliary cysts (black arrows) increased in number and size at the time of 42 months after diagnosis of alcoholic liver cirrhosis.
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Fig. 3
Magnetic resonance cholangiopancreaticography showed that multiple peribiliary cysts along the hepatic ducts, especially at the hepatic hilum and the left branch, represented as hyperintense on T2-weighted image. (A) T2-weighted coronary view (arrow). (B) T2-weighted axial view (arrow). (C) Maximum-intensity-projection reformation images.
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Table 1
Correlation of Serial Changes between Liver Function and Radiological Findings according to the Clinical Course
kjg-60-119-i001

HPCs, hepatic peribiliary cysts; CTP, Child-Turcotte-Pugh.

Notes

Financial support: None.

Conflict of interest: None.

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