Korean J Gastroenterol.  2020 Oct;76(4):220-223. 10.4166/kjg.2020.76.4.220.

Ciliated Hepatic Foregut Cyst Mimicking Biliary Cystadenoma

Affiliations
  • 1Departments of Internal Medicine, Pathology, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea
  • 2Departments of Internal Medicine, Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea


Figure

  • Fig. 1 (A) Abdominal ultrasonography shows a 1.5 cm-sized well-demarcated, anechoic cystic lesion at segment IV in the left lobe of the liver. (B) Six months later, abdominal ultrasonography shows a cystic lesion measuring up to 2.5 cm in size.

  • Fig. 2 Abdominal computed tomography shows a 2.5 cm sized, well-demarcated, oval-shaped, low attenuated cystic lesion at segment IV in the left lobe of the liver.

  • Fig. 3 Abdominal ultrasonography shows an anechoic cystic lesion measuring up to 4.5 cm in size.

  • Fig. 4 Magnetic resonance imaging findings. (A) T1 weighted imaging shows an approximately 4.8×3.0 cm sized low signal intensity lesion with an irregular thickness of the wall. (B) T2 weighted imaging shows a high signal intensity lesion with internal thin septations.

  • Fig. 5 Abdominal computed tomography shows the cystic lesion measuring up to 4.8×3.8 cm in size.

  • Fig. 6 (A) Resected specimen reveals a unilocular cyst with attached liver tissue. (B) Low magnification view demonstrates a well-demarcated cyst with continuous lining cells and fibrous pseudocapsule (H&E, ×40). (C) The cyst-lining cell layer is comprised of simple, cuboidal to columnar, ciliated cells (H&E, ×400).


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