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Related Experiment Videos

Infected hepatic cyst.

Hiroshi Yoshida1, Masahiko Onda, Takashi Tajiri

  • 1First Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, Tokyo 113-8603, Japan. yoshida hiroshi/surg1@nms.ac.jp

Hepato-Gastroenterology
|May 17, 2003
PubMed
Summary

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An infected hepatic cyst caused severe abdominal pain in an 88-year-old woman. Percutaneous transhepatic drainage effectively treated the infection, resolving symptoms and improving biomarkers.

Area of Science:

  • Hepatology
  • Infectious Diseases
  • Interventional Radiology

Background:

  • Hepatic cysts are common, but infection is rare.
  • Infected hepatic cysts can present with non-specific symptoms, mimicking other abdominal pathologies.

Observation:

  • An 88-year-old woman presented with acute abdominal pain, diarrhea, and fever.
  • Imaging revealed an 8-cm infected hepatic cyst with a thickened, enhancing wall.
  • Elevated inflammatory markers (C-reactive protein, white blood cell count) and cancer antigen 19-9 (CA19-9) were noted.

Findings:

  • Percutaneous transhepatic drainage yielded milky fluid and Escherichia coli.
  • Post-drainage, the patient's pain resolved, and serum CA19-9 and CEA levels improved.
  • Cyst fluid CA19-9 was significantly elevated (18,000 U/mL) compared to serum levels.

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Implications:

  • Percutaneous transhepatic drainage is an effective treatment for infected hepatic cysts.
  • This minimally invasive procedure can lead to rapid symptom resolution and biomarker normalization.
  • Prompt diagnosis and intervention are crucial for managing infected hepatic cysts.