Giant Hepatic Cyst. Description of a Case

摘要

INTRODUCTION: Solitary cysts of the Liver, constitutes a well known entity since last century. They represent 0.17% of exploratory laparotomies. Cystical disease of the Liver is the result of congenital, hereditary malformations, where the basic injury consists of macroscopic or microscopic cysts. The size and localization of hepatics cysts is variable, affecting one or both lobules, being more frequent in the right lobe. OBJECTIVE: To present an individual case of a giant hepatic cyst. CLINICAL CASE: Female patient of 30 years of age, coming from Anaco, Anzoategui State, without antecedents of asthma, arterial hypertension or diabetes. Her complaints began 3 months before his consultation (January 2006), she complained of: increase of the abdominal perimeter, diffuse pain in abdomen of slight intensity postprandial fullness, hiporexia, non quantified weight loss, pirosis, regurgitation and oliguria. The patient is admitted to Hospital Luis Alberto Rojas of Cantaura in May of 2006 by persistence of her sintomatology. Physical examination: globose abdomen, especially in the superior hemiabdomen and the right flank . Rx PA of thorax and abdomen, showed elevation of the right hemidiafragma. Liver ecosonogram revealed a cyst that included all of the right lobe. An abdominal helical tomography (TAC) showed space occupying lesion consistent with a liver cyst. The patient was treated with drainage and instillation of esclerosating substances into the cyst, this produced about 2000ml of a serous secretion. Patient was discharged and is presently being followed ecosonographycally DISCUSSION: Liver cysts are reviewed, and current therapeutic approaches are discussed.