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Case Reports
. 2024 Mar 22;16(3):e56752.
doi: 10.7759/cureus.56752. eCollection 2024 Mar.

Resection of Biliary Cystadenoma in a Pregnant Woman: A Case Report With Five Years of Follow-Up

Patryk Patrzałek  1 , Agnieszka Hałoń  2 , Maciej Guziński  3 , Michał Pomorski  4 , Wojciech Tokarczyk  5 , Dariusz Patrzałek  6
Affiliations
Case Reports

Resection of Biliary Cystadenoma in a Pregnant Woman: A Case Report With Five Years of Follow-Up

Patryk Patrzałek et al. Cureus. .

Abstract

Biliary cystadenomas (BCAs), rare cystic tumors occurring in the biliary system, account for fewer than 5% of cystic lesions in the liver. This case details successful resection in a 29-year-old pregnant woman at seven weeks gestation. Urgent left hemihepatectomy and cholecystectomy removed a mucinous hepatobiliary cystadenoma. Postoperatively, a healthy newborn was delivered by cesarean section. Five-year follow-up showed no recurrence. BCAs present diagnostic challenges due to nonspecific symptoms, and surgical intervention, preferably complete resection, is recommended for potential malignancy, after weighing benefits against complications in critical hepatic vessel lesions.

Keywords: biliary cystadenoma; biliary tumors; liver cyst; liver surgery; liver tumor; surgery in pregnancy.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Preoperative MRI. Giant cyst, with a thin wall, in the left part of the liver with multiple septa.
The presence of the giant cyst is indicated by the red arrow.
Figure 2
Figure 2. Preoperative MRI. Giant cyst, with a thin wall, in the left part of the liver with multiple septa.
The presence of the giant cyst is indicated by the red arrow.
Figure 3
Figure 3. Mucinous hepatobiliary cystadenoma with mesenchymal stroma.
A, B, C: liver parenchyma and tumor wall. D, E, F: cylindrical glandular epithelium.
Figure 4
Figure 4. Mucinous hepatobiliary cystadenoma with mesenchymal stroma.
Liver parenchyma and tumor wall.
Figure 5
Figure 5. Follow-up CT scan five years after the surgery.
Following resection, the postoperative anatomical location (red arrow).
Figure 6
Figure 6. Follow-up CT scan five years after surgery.
Following resection, the postoperative anatomical location (red arrow).
See this image and copyright information in PMC

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