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Infected solitary hepatic cyst
Hiroshi Yoshida1, Takashi Tajiri, Yasuhiro Mamada
1First Department of Surgery, Nippon Medical School, Tokyo, Japan. hiroshiy@nms.ac.jp
Journal of Nippon Medical School = Nippon Ika Daigaku Zasshi
|December 20, 2003
Summary
This case report details a non-operative diagnosis and successful treatment of an infected hepatic cyst in a 93-year-old woman. Percutaneous drainage resolved symptoms, preventing recurrence and further complications.
Area of Science:
- Hepatology
- Infectious Diseases
- Radiology
Background:
- Infected hepatic cysts are rare but serious conditions.
- Diagnosis often requires invasive procedures.
Observation:
- A 93-year-old woman presented with acute abdominal pain, diarrhea, and fever.
- Imaging revealed a large, complex hepatic cyst with wall thickening.
- Elevated inflammatory markers (C-reactive protein, white blood cell count) were noted.
Findings:
- Percutaneous transhepatic drainage yielded purulent fluid.
- Klebsiella pneumoniae was identified in the drained fluid.
- The patient's symptoms resolved post-drainage, with no recurrence at 18 months.
Implications:
- This case highlights the importance of considering infected hepatic cysts in elderly patients with abdominal symptoms.
- Non-operative management via percutaneous drainage can be effective.
- Accurate diagnosis through imaging and fluid analysis is crucial for successful treatment.