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Spontaneously ruptured hepatic cyst treated with laparoscopic deroofing and cystobiliary communication closure: A case report
Author(s) -
Shimada Shoji,
Hara Yoshiaki,
Wada Naoto,
Nakahara Kenta,
Takayanagi Daisuke,
Ishiyama Yasuhiro,
Maeda Chiyo,
Mukai Shunpei,
Sawada Naruhiko,
Yamaguchi Noriko,
Sato Yoshinobu,
Hidaka Eiji,
Ishida Fumio,
Kudo Shinei
Publication year - 2016
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12284
Subject(s) - medicine , surgery , closure (psychology) , cyst , laparoscopy , market economy , economics
The rupture of a nonparasitic hepatic cyst with biliary communication is rare. We report the case of a patient with a hepatic cyst with biliary communication that spontaneously ruptured and was successfully treated by laparoscopic deroofing and closure of the communication. A 61‐year‐old woman presented at our hospital with a chief complaint of right upper abdominal pain. Enhanced abdominal CT showed a collapsed hepatic cyst and fluid collection. Drip infusion CT cholangiography showed contrast medium pooling in the collapsed cyst. Therefore, hepatic cyst rupture with biliary communication was diagnosed, and laparoscopic deroofing and closure of the communication were performed. The postoperative course was uneventful, and the patient was discharged on postoperative day 6. In cases of hepatic cyst rupture, even in the presence of biliary communication, laparoscopic deroofing and closure of the communication should be recommended as the first‐choice treatment.