Korean J Gastroenterol.  2016 Nov;68(5):270-273. 10.4166/kjg.2016.68.5.270.

A Case of Biliary Obstruction Caused by Liver Cyst

• Heo JH
• Kang JY
• Lee MS
• Cho BH
• Hwang SY
• Song JH
• Yang JI
• Choi JS

• KMID: 2383505
• DOI: http://doi.org/10.4166/kjg.2016.68.5.270

Abstract

Most cystic lesions of the liver are found incidentally in imaging studies because they are not symptomatic, and generally do not require treatment. Rarely, however, symptomatic hepatic cysts may develop complications and require treatment. Here, we describe a case of a 77-year-old woman who developed biliary obstruction with abdominal pain due to compression of the bile duct by a simple hepatic cyst. We confirmed the diagnosis based on symptoms and imaging studies. The patient's symptoms improved after simple cyst ablation by sclerotherapy.

Keyword

Liver cyst; Bile duct obstruction

MeSH Terms

Abdominal Pain
Aged
Bile Ducts
Cholestasis
Diagnosis
Female
Humans
Liver*
Sclerotherapy

Figure

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  Fig. 1. Simple cyst of liver was exposed by (A) magnetic resonance cholangiopancreatography and (B) abdominal computed tomography.

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  Fig. 2. (A) A stricture of left intrahepatic bile duct is verified by endoscopic retrograde cholangiopancreatography (arrow). (B) Endoscopic retrograde biliary drainage: biliary plastic stent is inserted into bile duct for internal drainage. (C) Improvement of the stricture of the left intrahepatic bile duct is checked by the cholangiogram after alcohol sclerotherapy (arrow).

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  Fig. 3. Abdominal ultrasonography revealed simple cyst of liver. (A) Before treatment (arrow). (B) Ultrasound-guided needle sclerotherapy (arrow).

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  Fig. 4. Abdominal computed tomography showed (A) post-ablated state by sclerotherapy and (B) condition 3 years later.

Reference

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