Spontaneously ruptured hepatic cyst treated with laparoscopic deroofing and cystobiliary communication closure: A case report.
The rupture of a nonparasitic hepatic cyst with biliary communication is rare. We report the case of a patient with a hepatic cyst with biliary communication that spontaneously ruptured and was successfully treated by laparoscopic deroofing and closure of the communication. A 61-year-old woman presented at our hospital with a chief complaint of right upper abdominal pain. Enhanced abdominal CT showed a collapsed hepatic cyst and fluid collection. Drip infusion CT cholangiography showed contrast medium pooling in the collapsed cyst. Therefore, hepatic cyst rupture with biliary communication was diagnosed, and laparoscopic deroofing and closure of the communication were performed. The postoperative course was uneventful, and the patient was discharged on postoperative day 6. In cases of hepatic cyst rupture, even in the presence of biliary communication, laparoscopic deroofing and closure of the communication should be recommended as the first-choice treatment.
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Shoji
S
Shimada
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Yoshiaki
Y
Hara
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Naoto
N
Wada
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Kenta
K
Nakahara
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Daisuke
D
Takayanagi
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Yasuhiro
Y
Ishiyama
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Chiyo
C
Maeda
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Shunpei
S
Mukai
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Naruhiko
N
Sawada
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Noriko
N
Yamaguchi
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Yoshinobu
Y
Sato
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Eiji
E
Hidaka
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Fumio
F
Ishida
Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan.
Shin-Ei
SE
Kudo
D001658:Biliary Fistula / Q000209:etiology / Q000601:surgery*; D003137:Common Bile Duct Diseases / Q000209:etiology / Q000601:surgery*; D003560:Cysts / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008107:Liver Diseases / Q000150:complications / Q000601:surgery*; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000601:surgery
biliary communication; hepatic cyst; laparoscopic deroofing