Nonparasitic solitary giant hepatic cyst causing obstructive jaundice was successfully treated with monoethanolamine oleate.
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.
Miyamoto
Masahiko
M
Division of Internal Medicine, Nagayama Hospital, Osaka.
Oka
Masashi
M
Izumiya
Takashi
T
Nagaoka
Tsunehiro
T
Ishihara
Yasuhito
Y
Ueda
Kazuki
K
Enomoto
Shotaro
S
Yanaoka
Kimihiko
K
Arii
Kenji
K
Tamai
Hideyuki
H
Shimizu
Yasuhito
Y
Ichinose
Masao
M
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
D009829:Oleic Acids; C431086:monoethanolamine oleate