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. 2016 Dec;2(1):148.
doi: 10.1186/s40792-016-0275-x. Epub 2016 Dec 7.

Elective laparoscopic deroofing to treat the spontaneous rupture of a large simple liver cyst: a case report

Yuki Imaoka  1 , Masahiro Ohira  2 , Tsuyoshi Kobayashi  1 , Seiichi Shimizu  1 , Hiroyuki Tahara  1 , Shintaro Kuroda  1 , Kentaro Ide  1 , Kohei Ishiyama  1 , Hideki Ohdan  1
Affiliations

Elective laparoscopic deroofing to treat the spontaneous rupture of a large simple liver cyst: a case report

Yuki Imaoka et al. Surg Case Rep. 2016 Dec.

Abstract

Background: The spontaneous rupture of nonparasitic liver cysts (NLC) is sometimes seen in clinical practice. However, there are no guidelines that describe the optimal treatment strategy and the surgical indications for an NLC rupture due to a small number of reports. Here, we present a case who underwent elective laparoscopic deroofing to treat a spontaneously ruptured NLC that had undergone conservative treatment.

Case presentation: A 67-year-old woman was referred to our hospital for the evaluation of acute abdominal pain after the conservative treatment of an NLC at another hospital. She had stable vital signs and no abdominal rigidity. We performed an elective laparoscopic deroofing following an examination of the cyst relative to the bile ducts and the patient's general condition. Computed tomography (CT) and magnetic resonance imaging (MRI) showed that there was no solid mass in the cyst. During the laparoscopic surgery, the cyst wall was resected and the back wall of the cyst was incinerated using an inverse-opal-structure electrode. The patient's postoperative course was stable without any complications.

Conclusions: We succeeded the conservative therapy and the elective laparoscopic surgery for ruptured of NLC. However, elective surgery in spontaneously ruptured NLC with intraabdominal infection or hemorrhage is still challenging.

Keywords: Laparoscopy; Liver cyst; Rupture.

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Figures

Fig. 1
Fig. 1
a Computed tomography (CT) scan before admission to hospital. b CT scan during the examination. c Magnetic resonance imaging (MRI) T1-weighted image. d MRI T2-weighted image
Fig. 2
Fig. 2
a The cyst on the right lobe. b The cyst wall was resected at the junction of the cyst. c The back wall of the cyst was incinerated using an inverse-opal-structure electrode while avoiding Glisson’s capsule
See this image and copyright information in PMC

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