Emergency laparotomy for misdiagnosed biliary cystadenoma originating from caudate lobe

被引：7

作者：

Ramacciato G. ^{[1
]}

Nigri G.R. ^{[1
]}

D'Angelo F. ^{[1
]}

Aurello P. ^{[1
]}

Bellagamba R. ^{[1
]}

Colarossi C. ^{[2
]}

Pilozzi E. ^{[2
]}

Del Gaudio M. ^{[3
]}

机构：

[1] Department of Hepatobiliary-Pancreatic Surgery, University of Rome La Sapienza, II School of Medicine, Rome

[2] Department of Pathology, University of Rome La Sapienza, II School of Medicine, Rome

[3] Department of General Surgery, Liver and Multivisceral Transplantation Unit, University of Modena and Reggio Emilia, Modena

来源：

World Journal of Surgical Oncology | / 4卷 / 1期

关键词：

Hepatic Resection; Hydatid Cyst; Carbohydrate Antigen; Cystadenoma; Cystadenocarcinoma;

D O I：

10.1186/1477-7819-4-76

中图分类号：

学科分类号：

摘要：

Background: Biliary cystadenoma is a rare benign neoplasm, which is often misdiagnosed for a hepatic abscess or a hydatid cyst that tends to recur and is at risk for progression to malignant neoplasm. Case presentation: This case describes a 30-year-old woman admitted to our institution in an emergency setting. The patient was originally misdiagnosed as affected by a hepatic hydatid cyst at another hospital, and then emergently treated at our Institution for severe abdominal pain. Histologic evaluation of the cyst showed that it was a biliary cystadenoma and, therefore, the patient underwent a hepatic resection in order to completely remove the lesion. Conclusion: Complete excision of any suspicious hepatic cystic lesion remains the best method for diagnosis and treatment of cystadenoma. Incomplete excision of most biliary cystadenoma results in a higher rate of recurrence and the risk of malignant transformation. We report this case to elucidate the clinical presentation, preoperative evaluation, and surgical treatment of these rare lesions. © 2006 Ramacciato et al; licensee BioMed Central Ltd.

引用

共 35 条

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