title: Nonparasitic solitary giant hepatic cyst causing obstructive jaundice was successfully treated with monoethanolamine oleate.
abstract: A 77-year-old man hospitalized for epigastric pain showed jaundice of the skin and conjunctivae. Laboratory tests revealed elevated hepatobiliary enzymes and inflammatory markers, and imaging studies demonstrated a 12 cm hepatic cyst compressing the common bile duct. The diagnosis was a giant hepatic cyst causing obstructive jaundice. Cyst drainage and sclerotherapy with 5% monoethanolamine oleate was performed twice, resulting in almost complete disappearance of the cyst. Obstructive jaundice due to a hepatic cyst, as seen in this case, is relatively rare and this report includes a review of other similar cases in Japan.
authors.affiliation: Division of Internal Medicine, Nagayama Hospital, Osaka.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Miyamoto
authors.forename: Masashi
authors.initials: M
authors.lastname: Oka
authors.forename: Takashi
authors.initials: T
authors.lastname: Izumiya
authors.forename: Tsunehiro
authors.initials: T
authors.lastname: Nagaoka
authors.forename: Yasuhito
authors.initials: Y
authors.lastname: Ishihara
authors.forename: Kazuki
authors.initials: K
authors.lastname: Ueda
authors.forename: Shotaro
authors.initials: S
authors.lastname: Enomoto
authors.forename: Kimihiko
authors.initials: K
authors.lastname: Yanaoka
authors.forename: Kenji
authors.initials: K
authors.lastname: Arii
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Tamai
authors.forename: Yasuhito
authors.initials: Y
authors.lastname: Shimizu
authors.forename: Masao
authors.initials: M
authors.lastname: Ichinose
mesh_terms: D000368:Aged; D002760:Cholangiopancreatography, Endoscopic Retrograde; D003560:Cysts / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D041781:Jaundice, Obstructive / Q000209:etiology*; D008107:Liver Diseases / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy*; D008297:Male; D009829:Oleic Acids / Q000627:therapeutic use*; D015911:Sclerotherapy; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: D009829:Oleic Acids; C431086:monoethanolamine oleate