Manejo ante rotura espontánea de quiste hepático simpleuna rara complicación

  1. González Sierra B. 1
  2. Manuel Vázquez A. 1
  3. Ramia Ángel J. M. 1
  1. 1 Hospital Universitario de Guadalajara. Guadalajara.
Journal:
Cirugía Andaluza

ISSN: 2695-3811,  1130-3212

Year of publication: 2020

Volume: 31

Issue: 3

Pages: 330-332

Type: Article

DOI: 10.37351/2020313.16 DIALNET GOOGLE SCHOLAR lock_openDialnet editor

More publications in: Cirugía Andaluza

Abstract

Simple hepatic cysts represent one of the most frequent liver lesions. They are usually asymptomatic and are diagnosed incidentally in radiological tests performed for other reasons. Complications of this type of lesions are infrequent, with intracystic hemorrhage and infection being the most frequent. Exceptionally, cases of spontaneous rupture of simple non-parasitic liver cyst have been described. We present three patients with spontaneous rupture of simple non-parasitic liver cyst, where the presence or absence of acute abdomen conditioned their management and the decision of conservative versus surgical attitude. There is no standardized treatment for the management of this complication, with conservative management being a viable option in patients without evidence of peritonitis on abdominal examination. Otherwise, the option of urgent surgery is posed in the presence of acute abdomen.

Bibliographic References

  • Ramia JM, de La Plaza R, Figueras J, García-Parreño J. Benign non-parasitic hepatic cystic tumours. Cir Esp. 2011 Nov;89(9):565-73.
  • Miliadis L, Giannakopoulos T, Boutsikos G, Terzis I, Kyriazanos ID. Spontaneous rupture of a large non parasitic liver cyst: a case report. J Med Case Rep. 2010;4:2.
  • Gigot JF, Legrand M, Hubens G, de CanniereL, Wibin E, Deweer F, Druart ML, Bertrand C, Devriendt H, Droissart R, Tugilimana M, Hauters P, Vereecken L. Laparoscopic treatment of nonparasitic liver cysts: adequate selection of patients and surgical technique. Worl J Surg 1996; 20: 556-561
  • Hotta M, Yoshida H, Makino H, Yokoyama T, Maruyama H, Uchida E. Spontaneus rupture of a simple hepatic cyst: report of a case. J Nippon Med Sch. 2015;82(2):113-6.
  • Inoue K, Iguchi T, Ito S, Ohga T, Nozoe T, Shirabe K, Ezaki T, Maehara Y. Rerupture of nonparasitic liver cyst treated with cyst fenestration: a case report. Surg Case Rep. 2015;1(1):71.
  • Imaoka Y, Ohira M, Kobayashi T, Shimizu S, Tahara H, Kuroda S, Ide K, Ishiyama K, Ohdan H. Elective laparoscopic deroofing to treat the spontaneous rupture of a large simple liver cyst: a case report. Surg Case Rep. 2016 Dec;2(1):148.
  • Simon T, Bakker IS, Penninga L, Nellensteijn DR. Haemorrhagic rupture of hepatic simple cysts. BMJ Case Rep. 2015 Feb 19;2015.
  • Salemis NS, Georgoulis E, Gourgiotis S, Tsohataridis E. Spontaneous rupture of a giant non parasitic hepatic cyst presenting as an acute surgical abdomen. Ann Hepatol. 2007 Jul-Sep; 6(3):190-3.
  • Marion Y, Brevartt C, Plard L, Chiche L. Hemorrhagic liver cyst rupture: an unusual life-threatening complication of hepatic cyst and literature review. Ann Hepatol. 2013 Mar-Apr;12(2):336-9.
  • Shimada S, Hara Y, Wada N, Nakahara K, Takayanagi D, Ishiyama Y, Maeda C, Mukai S, Sawada N, Yamaguchi N, Sato Y, Hidaka E, Ishida F, Kudo SE. Spontaneously ruptured hepatic cyst treated with laparoscopic deroofing and cystobiliary communication closure: A case report. Asian J Endosc Surg. 2016; 9(3):208-10.
  • Maki T, Omi M, Kaneko H, Misu K, Inomata H, Nihei K. Spontaneous rupture of non-parasitic or non-neoplastic multiple and giant liver cysts: report of a case. Surg Case Rep. 2015 Dec;1(1):45.
  • Park J. Traumatic rupture of a non-parasitic simple hepatic cyst presenting as an acute surgical abdomen: Case report. Int J Surg Case Rep. 2019;65:87-90.
Data source: Dialnet