title: Giant simple hepatic cyst: a case report and review of relevant literature.
abstract: BACKGROUND
  Giant cysts of the liver are uncommon. Symptoms are related primarily to the mass effect of the enlarging cyst.
  
  
  OBJECTIVE
  To highlight the challenges of management of giant simple hepatic cyst in a resource limited setting.
  
  
  METHODS
  Presented is a 58-year-old seamstress with a 5-year history of an enlarging abdominal mass with easy satiety. Surgery revealed an exophytic giant simple hepatic cyst arising from liver segment IV that drained 4.6 litres of serous fluid.
  
  
  CONCLUSIONS
  Simple hepatic cyst can attain giant dimensions and should be considered in the differential diagnosis of intraabdominal masses.
authors.affiliation: University of Calabar Teaching Hospital, Calabar, Surgery.
authors.forename: Maurice
authors.initials: M
authors.lastname: Asuquo
authors.affiliation: University of Calabar Teaching Hospital, Calabar, Surgery.
authors.forename: Victor
authors.initials: V
authors.lastname: Nwagbara
authors.affiliation: University of Calabar Teaching Hospital, Calabar, Surgery.
authors.forename: Cyril
authors.initials: C
authors.lastname: Agbor
authors.affiliation: University of Calabar Teaching Hospital, Calabar, Surgery.
authors.forename: Fidelis
authors.initials: F
authors.lastname: Otobo
authors.affiliation: University of Calabar Teaching Hospital, Pathology.
authors.forename: Ayodele
authors.initials: A
authors.lastname: Omotoso
mesh_terms: D015746:Abdominal Pain / Q000000981:diagnostic imaging / Q000209:etiology*; D003560:Cysts / Q000000981:diagnostic imaging / Q000601:surgery*; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D006801:Humans; D008107:Liver Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography
keywords: Laparotomy; drainage; giant hepatic cyst; wide excision
references.citation: J Am Coll Surg. 2001 Jul;193(1):36-45
references.pmid: 11442252
references.citation: Arch Surg. 2002 Feb;137(2):154-8
references.pmid: 11822951
references.citation: Surg Clin North Am. 2000 Aug;80(4):1203-11
references.pmid: 10987031
references.citation: Ir J Med Sci. 2005 Apr-Jun;174(2):60-2
references.pmid: 16094916
references.citation: HPB (Oxford). 2009 May;11(3):235-41
references.pmid: 19590653
references.citation: Liver Int. 2008 Jul;28(6):840
references.pmid: 18647142
references.citation: J Med Case Rep. 2008 Oct 14;2:329
references.pmid: 18851758
references.citation: Am J Obstet Gynecol. 1952 Feb;63(2):441-4
references.pmid: 14894559
references.citation: J Am Coll Surg. 2000 Sep;191(3):311-21
references.pmid: 10989905
references.citation: Surg Laparosc Endosc Percutan Tech. 2008 Oct;18(5):511-3
references.pmid: 18936679
references.citation: J Am Coll Surg. 2009 Dec;209(6):733-9
references.pmid: 19959042
references.citation: An Med Interna. 2007 Mar;24(3):135-7
references.pmid: 17590136