title: Haemorrhagic rupture of hepatic simple cysts.
abstract: Haemorrhagic rupture is a life-threatening complication of a hepatic simple cyst. A 63-year-old man presented with severe acute abdominal pain and a massive haemoperitoneum resulting from haemorrhagic rupture of a large hepatic cyst. The haemorrhagic rupture was aggravated by an overdose of vitamin K-antagonist treatment. CT scans revealed a large hepatic simple cyst. The patient was successfully treated conservatively with resuscitation, transfusion therapy and administration of coagulation agents. To date, there is no clear evidence regarding optimal treatment of haemorrhagic hepatic cyst rupture. The risk of recurrent bleeding from the haemorrhagic hepatic simple cyst, and the need for final treatment to avoid rebleeding either by percutaneous sclerotherapy, endovascular embolisation, surgical cyst resection, or surgical deroofing, is discussed.
authors.affiliation: Department of Surgery, St Elisabeth Hospital, Willemstad, Curaçao.
authors.forename: Tiarah
authors.initials: T
authors.lastname: Simon
authors.affiliation: Department of Surgery, St Elisabeth Hospital, Willemstad, Curaçao.
authors.forename: Ilsalien S
authors.initials: IS
authors.lastname: Bakker
authors.affiliation: Department of Surgery, St Elisabeth Hospital, Willemstad, Curaçao.
authors.forename: Luit
authors.initials: L
authors.lastname: Penninga
authors.affiliation: Department of Surgery, St Elisabeth Hospital, Willemstad, Curaçao.
authors.forename: David R
authors.initials: DR
authors.lastname: Nellensteijn
mesh_terms: D015746:Abdominal Pain / Q000209:etiology*; D000925:Anticoagulants / Q000627:therapeutic use; D000933:Antifibrinolytic Agents / Q000627:therapeutic use; D003560:Cysts / Q000000981:diagnostic imaging / Q000473:pathology*; D017707:Erythrocyte Transfusion / Q000379:methods; D006465:Hemoperitoneum / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D008107:Liver Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D012151:Resuscitation / Q000379:methods; D012422:Rupture, Spontaneous / Q000150:complications* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed; D014148:Tranexamic Acid / Q000627:therapeutic use; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; D000933:Antifibrinolytic Agents; D014148:Tranexamic Acid