title: [Complicated polycystic liver disease with intracystic hemorrhage and obstructive jaundice].
abstract: 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.
authors.affiliation: Service d'Hépato-Gastroentérologie, Hôtel-Dieu, CHU, Clermont-Ferrand, France. lrosenfeld@chu-clermontferrand.fr
authors.forename: L
authors.initials: L
authors.lastname: Rosenfeld
authors.forename: A
authors.initials: A
authors.lastname: Abergel
authors.forename: C
authors.initials: C
authors.lastname: Bonny
authors.forename: L
authors.initials: L
authors.lastname: Poincloux
authors.forename: P
authors.initials: P
authors.lastname: Gayard
authors.forename: J M
authors.initials: JM
authors.lastname: Garcier
authors.forename: M
authors.initials: M
authors.lastname: Scribe-Outtas
authors.forename: G
authors.initials: G
authors.lastname: Bommelaer
mesh_terms: 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