Bleeding into a liver cyst can be treated conservatively.
OBJECTIVE
To report the case of a patient with haemorrhage in a large hepatic cyst.


METHODS
A 66-year-old man, who presented with right shoulder pain and subsequent sudden abdominal pain. A large hepatic cyst containing blood was found at ultrasonography.


METHODS
The patient was treated conservatively.


RESULTS
The patient's symptoms resolved quickly. No symptoms or complications recurred during a follow-up of 2 years.


CONCLUSIONS
Therapy for non-parasitic liver cysts is indicated when symptoms or complications related to the cysts occur. This case shows that spontaneous haemorrhage into a non-parasitic hepatic cyst may follow a benign course and may be treated conservatively.
Zanen
A L
AL
Department of Internal Medicine, St Franciscus Gasthuis, Rotterdam, The Netherlands.
van Tilburg
A J
AJ
D000368:Aged; D003560:Cysts / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D006470:Hemorrhage / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D008297:Male; D014463:Ultrasonography