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Case Reports
. 2023 Aug 14;15(8):e43498.
doi: 10.7759/cureus.43498. eCollection 2023 Aug.

A Rare Case of Symptomatic Ciliated Hepatic Foregut Cyst in a 17-Year-Old Female

Altay Aliyev  1 , Arturan Ibrahimli  2 , Natavan Azizova  1 , Nijat Alishev  3 , Eldar Ahmadov  4
Affiliations
Case Reports

A Rare Case of Symptomatic Ciliated Hepatic Foregut Cyst in a 17-Year-Old Female

Altay Aliyev et al. Cureus. .

Abstract

A ciliated hepatic foregut cyst (CHFC) is a very uncommon cystic hepatic lesion that arises from an embryonic remnant of the foregut epithelium. CHFC is predominantly asymptomatic and is found incidentally. However, it can show various clinical presentations such as pain and weight loss. We present the case of a 17-year-old female who came to our hospital with complaints of right subcostal pain and abdominal discomfort and was diagnosed with CHFC by biopsy. Successful laparoscopic resection was performed due to the possibility of malignant transformation. Even though the majority of the patients are asymptomatic and cysts are commonly found incidentally, when the lesion has concerning features, they may need follow-up or resection due to rare reported cases of malignant transformation.

Keywords: benign hepatic lesion; ciliated pseudostratified columnar epithelium; foregut cyst; hepatic cyst; hepatic cyst differential; hepatic tumor; ptc biopsy.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Preoperative contrast-enhanced upper abdomen MRI: (A) T-2 weighted sequence axial view, (B) coronal view. The arrow represents the cystic lesion in IV A segment of the liver.
Figure 2
Figure 2. Histology of CHFC with H&E staining
(A) Percutaneous transhepatic biopsy of the lesion showing ciliated pseudostratified columnar epithelium and subepithelial connective tissue. (B) Laparoscopic excision confirmed cyst wall lined by ciliated pseudostratified columnar epithelium and smooth muscle bundles in the subepithelial connective tissue, consistent with CHFC (low and high power view respectively). CHFC: ciliated hepatic foregut cyst
See this image and copyright information in PMC

References

    1. Ciliated hepatic foregut cyst. Wheeler DA, Edmondson HA. Am J Surg Pathol. 1984;8:467–470. - PubMed
    1. Ciliated hepatic foregut cyst: 103 cases in the world literature. Ambe C, Gonzalez-Cuyar C, Farooqui S, Hanna N, Cunningham SC. Open J Pathol. 2012;2:45–49.
    1. Ciliated foregut cyst in the triangle of Calot: the first report. Al Beteddini OS, Amra NK, Sherkawi E. Surg Case Rep. 2016;2:20. - PMC - PubMed
    1. Ciliated hepatic foregut cyst: a report of 6 cases and a review of the English literature. Bishop KC, Perrino CM, Ruzinova MB, Brunt EM. Diagn Pathol. 2015;10:81. - PMC - PubMed
    1. Ciliated foregut cyst of the common hepatic duct: an unusual mimic of a type ii choledochal cyst. Cottreau J, Costa A, Walsh M, Arnason T. Int J Surg Pathol. 2016;24:644–647. - PubMed

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