Repeated episodes of spontaneous intracystic hemorrhage of hepatic cysts mimicking malignancy.
Repeated episodes of spontaneous intracystic hemorrhage in the liver are very rare. We present the case of a patient with spontaneous intracystic hemorrhage mimicking hepatic malignancy, following an episode of spontaneous hemorrhage of a cyst in the left lobe of the liver. Sonography revealed a heterogenous mass with amorphous material in one episode and a cystic mass with internal papillary projections and septations in the other. The patient experienced acute abdominal pain in the first episode and remained asymptomatic during the two-year follow-up period. With an accurate diagnosis, spontaneous hemorrhage of a hepatic cyst may follow a benign course and be treated conservatively.
Chang
S S
SS
Department of Medicine, Taipei Veterans General Hospital, Taiwan, ROC.
Chan
C C
CC
Wang
S S
SS
Chang
F Y
FY
Lee
S D
SD
D000368:Aged; D003560:Cysts / Q000150:complications*; D003937:Diagnosis, Differential; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D008107:Liver Diseases / Q000150:complications*; D008113:Liver Neoplasms / Q000175:diagnosis*