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Recurrent giant simple hepatic cyst: an unusual cause of dyspnoea in an elderly man
- Source :
- BMJ Case Rep
- Publication Year :
- 2023
-
Abstract
- An 88-year-old man presented to the emergency department with exertional dyspnoea and orthopnoea. Clinical examination revealed mildly raised jugular venous pressure, increased respiratory rate, palpable non-tender hepatomegaly and reduced right basal breath sounds. Ultrasonography showed a large right simple hepatic cyst, multiple small left hepatic and renal cysts. A non-contrast CT scan revealed a large, right hepatic thin-walled cyst of volume 4.2 L, exhibiting few thin septae and tiny nodular mural calcifications. Pressure effects were elevated right haemidiaphragm, right atrial compression and adjacent atelectasis. He had a similar episode 2 years ago, treated by percutaneous needle aspiration. Giant simple hepatic cysts are rare and present when symptomatic due to pain, mass effect on adjacent organs, infection or rupture. These may unusually cause dyspnoea or orthopnoea by compressing cardiac chambers. Simple aspiration has a high recurrence rate. Percutaneous sclerosant injection, laparoscopic deroofing and cystectomy are better treatment modalities.
- Subjects :
- Male
medicine.medical_specialty
Percutaneous
medicine.medical_treatment
Physical examination
Atelectasis
Case Report
030230 surgery
Cystectomy
03 medical and health sciences
0302 clinical medicine
Recurrence
Medicine
Humans
Paracentesis
Cyst
Ultrasonography
Aged, 80 and over
medicine.diagnostic_test
business.industry
Cysts
Interventional radiology
General Medicine
Emergency department
medicine.disease
Dyspnea
Liver
Radiology
Hepatic Cyst
business
Tomography, X-Ray Computed
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 14
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- BMJ case reports
- Accession number :
- edsair.doi.dedup.....e32b84c0b5ed30cd3e853e4a614664a7