title: Ciliated hepatic foregut cyst with obstructive jaundice.
abstract: Ciliated hepatic foregut cysts (CHFCs) are rare congenital cystic lesion that are most often solitary, unilocular, and located in the subcapsular region of the medial segment of the left hepatic lobe. The mucoid fluid contents affect imaging studies and often make definitive diagnosis difficult. CHFCs are usually asymptomatic and found incidentally. We report a 69-year-old female patient with a CHFC causing obstructive jaundice, which was difficult to differentiate from a biliary cystic neoplasm. A well-defined cystic lesion measuring 25 mm in diameter was located in the porta hepatis region. The lesion was densely adherent to the left and right hepatic ducts, riding on the bifurcation, and the common hepatic duct was extrinsically compressed. An extended left hepatectomy was performed. A diagnosis of CHFC was made on the basis of typical histological findings. CHFC should be included in the differential diagnosis for cystic lesions of the liver.
authors: Department of Surgery, Uwajima City Hospital, Uwajima, Japan.
authors: Hidenori
authors: H
authors: Kiyochi
authors: Kenzo
authors: K
authors: Okada
authors: Kazuhide
authors: K
authors: Iwakawa
authors: Mamoru
authors: M
authors: Nakanishi
authors: Hajime
authors: H
authors: Satoh
authors: Shunsuke
authors: S
authors: Iimori
authors: Maiko
authors: M
authors: Miyoshi
authors: Koji
authors: K
authors: Yamamoto
authors: Hiroshi
authors: H
authors: Kotegawa
authors: Akihiro
authors: A
authors: Takai
authors: Shinsuke
authors: S
authors: Kajiwara