Hemorrhage into a simple liver cyst: Diagnostic implications of a recent case

被引:29
作者
Hanazaki, K
Wakabayashi, M
Mori, H
Sodeyama, H
Yoshizawa, K
Yokoyama, S
Sode, Y
Kawamura, N
Miyazaki, T
机构
[1] Department of Surgery, Nagano Red Cross Hospital, Nagano 380
[2] Department of Internal Medicine, Nagano Red Cross Hospital, Nagano 380
关键词
liver cyst; intracystic hemorrhage; dome resection of hepatic cyst; cystadenocarcinoma;
D O I
10.1007/BF02936967
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Hemorrhage complicating simple liver cyst is rare, On imaging studies, the differential diagnosis between intracystic hemorrhage and cystadenocarcinoma of the liver is unreliable, and hepatectomy has been performed for benign liver cyst: in this situation, We describe the characteristics of hemorrhage into a liver cyst in a patient who underwent dome resection of the cyst. In our patient-important diagnostic findings included benign cytologic features in a cyst fluid specimen aspirated with ultrasonographic guidance and a fall in hemoglobin and hematocrit, suggestive of hemorrhage. Other informative features were absence of communication between the intrahepatic bile ducts and the cystic liver lesion upon endoscopic retrograde cholangiopancreatography. as well as benign intraoperative frozen-section histology.
引用
收藏
页码:848 / 851
页数:4
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