[Difficult diagnosis of a biliary cyst. A case report].
A 26 year-old man presented a hepatic cyst complicated by intracystic bleeding. Clinical and biological features (chronic pancreatitis), ultrasound and computed tomography findings apparent hepatic and splenic location), macroscopic aspects (inflammatory changes, brown-colored fluid) as well as microscopic characteristics (thickened cyst-wall, absence of epithelium) of both cysts suggested the diagnosis of pancreatic pseudocysts. The diagnosis of hepatic cyst was carried out on histological examination showing Meyenburg and neuro-fibrillar complexes. Occurrence of complications (bleeding, size enlargement) may modify typical histological aspect of hepatic cyst.
Nguyen Trong
A H
AH
Département de Chirurgie Digestive et de Cancérologie Digestive, Hôpital Carémeau, CHR de Nîmes.
Demaria
R
R
Pignodel
C
C
Bourat
L
L
Godlewski
G
G
D000328:Adult; D000437:Alcoholism / Q000150:complications; D003560:Cysts / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D007813:Laparotomy; D008107:Liver Diseases / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D008297:Male; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography
Kyste biliaire de diagnostic difficile. A propos d'un cas.