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Case Reports
. 2015 Feb 19:2015:bcr2014208676.
doi: 10.1136/bcr-2014-208676.

Haemorrhagic rupture of hepatic simple cysts

Tiarah Simon  1 , Ilsalien S Bakker  1 , Luit Penninga  1 , David R Nellensteijn  1
Affiliations
Case Reports

Haemorrhagic rupture of hepatic simple cysts

Tiarah Simon et al. BMJ Case Rep. .

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.

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Figures

Figure 1
Figure 1
Abdominal CT-scan showing a large hepatic simple cyst.
Figure 2
Figure 2
Hepatic cyst with haemorrhage, and free intra-abdominal fluid around the liver and spleen.
See this image and copyright information in PMC

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