Spontaneously Resolving of Huge Simple Hepatic Cyst

Dong Min Lee; Oh Sang Kwon; Youn-I Choi; Seung Kak Shin; Seung Jun Jang; Hyunjung Seo; Jong Joon Lee; Duck Joo Choi; Yun Soo Kim; Ju Hyun Kim

doi:10.4166/kjg.2018.72.2.86

Journal List > Korean J Gastroenterol > v.72(2) > 1100089

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Lee, Kwon, Choi, Shin, Jang, Seo, Lee, Choi, Kim, and Kim: Spontaneously Resolving of Huge Simple Hepatic Cyst

Case Report

The Korean Journal of Gastroenterology 2018; 72(2): 86-89.

Published online: 23 August 2018

DOI: https://doi.org/10.4166/kjg.2018.72.2.86

Spontaneously Resolving of Huge Simple Hepatic Cyst

Dong Min Lee, Oh Sang Kwon, Youn-I Choi, Seung Kak Shin, Seung Jun Jang, Hyunjung Seo, Jong Joon Lee, Duck Joo Choi, Yun Soo Kim, Ju Hyun Kim

Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea.

Correspondence to: Oh Sang Kwon, Department of Internal Medicine, Gachon University Gil Medical Center, 21 Namdong-daero 774beon-gil, Namdong-gu, Incheon 21565, Korea. Tel: +82-32-460-3778, Fax: +82-32-460-3408, kos@gilhospital.com

Received 23 December 2017 Revised 16 April 2018 Accepted 18 April 2018

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/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Simple hepatic cysts are common benign liver lesions that usually have no malignant capability. They are generally asymptomatic and are often found incidentally by abdominal imaging procedures. Treatment becomes necessary, however, when huge hepatic cysts cause symptoms and develop complications, such as hemorrhage, adjacent organ damage, and infection. Several therapeutic options have been performed for symptomatic and huge cysts, including the aspiration of cystic fluid, infusion of various sclerosing agents, and surgical intervention. The optimal management of huge hepatic cysts is controversial and each option has its complications and limitations. This paper reports a case of a 66-year-old woman diagnosed with a simple hepatic cyst 2 years earlier, who was referred to hospital due to abdominal pain. The diagnosis was a huge hepatic cyst with symptoms by abdominal imaging studies. During the follow-up period, the huge cysts resolved spontaneously without treatment.

Keywords: Cysts, Liver, Spontaneous, Resolution

Figures and Tables

Fig. 1

Abdominal computed tomography showing an approximately 11 cm-sized huge unilocular cystic lesion in the right superior segment and segment 4 of the liver. (A) Axial view. (B) Coronal view.

Fig. 2

Abdominal ultrasonography revealed an approximately 10.9×11 cm sized large cystic lesion in the right lobe of the liver and which had multiple floating septation with heterogeneous echogenicity.

Fig. 3

Follow up abdominal ultrasonography was performed at (A) after 18 months of the initial study, the size of previous huge cystic lesions had decreased (10.9×11 cm → 5.5×5.1 cm). (B) After 26 months of the initial study, the lesions had almost resolved.

Fig. 4

Abdominal computed tomography imaging performed at 32 months after the initial study showed a markedly decreased size of the previous huge cystic lesions in the right lobe of the liver.

Notes

^{Financial support} None.

^{Conflict of interest} None.

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