Open AccessRapidly enlarging, giant hepatic cyst growing pseudomonas
Author(s) -
Meelad Sayma,
Huw Walters,
Christian Hesford,
Zohaib Tariq,
Ali Nakhosteen
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2018-226276
Subject(s) - medicine , cyst , pseudomonas aeruginosa , ultrasound , radiology , cardiology , surgery , bacteria , biology , genetics
A 74-year-old woman presented with dyspnoea and fever on a background of a large hepatic cyst thought to be stable in size. During her admission, she developed worsening shortness of breath. An echocardiogram revealed severely impaired cardiac output due to external compression by the hepatic cyst, which had grown rapidly. This was drained under ultrasound guidance and cultures of this fluid grew Pseudomonas aeruginosa : the organism responsible for the persistence of this giant hepatic cyst.