[Complicated polycystic liver disease with intracystic hemorrhage and obstructive jaundice].
Polycystic liver disease, which is generally part of the autosomal dominant polycystic kidney disease, is often asymptomatic. We report a case of obstructive jaundice caused by compression of the biliary tract by a large haemorrhagic liver cyst. The patient was a man with sporadic polycystic liver disease without polycystic kidney disease and with normal renal function for his age. Ultrasound combined with cholangio-MRI provided non-invasive confirmation of intracystic bleeding and intrahepatic biliary dilatation. Obstructive jaundice was confirmed by cyst puncture-aspiration which resolved symptoms and normalized biology. The initial treatment of haemorrhagic liver cyst complicating polycystic liver disease must be medical with cyst aspiration-drainage and sclerotherapy to avoid surgery in these fragile patients.
Rosenfeld
L
L
Service d'Hépato-Gastroentérologie, Hôtel-Dieu, CHU, Clermont-Ferrand, France. lrosenfeld@chu-clermontferrand.fr
Abergel
A
A
Bonny
C
C
Poincloux
L
L
Gayard
P
P
Garcier
J M
JM
Scribe-Outtas
M
M
Bommelaer
G
G
D000368:Aged; D000369:Aged, 80 and over; D002779:Cholestasis / Q000175:diagnosis* / Q000209:etiology; D003560:Cysts / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006470:Hemorrhage / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008107:Liver Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D013396:Suction; D014463:Ultrasonography