title: [Difficult diagnosis of a biliary cyst. A case report].
abstract: 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.
authors.affiliation: Département de Chirurgie Digestive et de Cancérologie Digestive, Hôpital Carémeau, CHR de Nîmes.
authors.forename: A H
authors.initials: AH
authors.lastname: Nguyen Trong
authors.forename: R
authors.initials: R
authors.lastname: Demaria
authors.forename: C
authors.initials: C
authors.lastname: Pignodel
authors.forename: L
authors.initials: L
authors.lastname: Bourat
authors.forename: G
authors.initials: G
authors.lastname: Godlewski
mesh_terms: 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
vernacular_title: Kyste biliaire de diagnostic difficile. A propos d'un cas.