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A cystic hepatic lesion: when to worry?
R Maharaj1, S V Sakpal, K Deodhar
1Department of Gastrointestinal and Hepatopancreatobiliary Surgical Oncology, Tata Memorial Hospital, Mumbai, India.
The West Indian Medical Journal
|January 29, 2011
Summary
A rare biliary cystadenoma was diagnosed in a teenage girl with abdominal pain. This case highlights imaging features and management of cystic liver lesions.
Area of Science:
- Hepatobiliary surgery
- Gastroenterology
- Diagnostic imaging
Background:
- Cystic liver lesions are uncommon, with biliary cystadenoma being a rare pre-malignant entity.
- Distinguishing between benign and malignant cystic liver lesions can be challenging based on imaging alone.
Observation:
- A 16-year-old female presented with abdominal pain.
- Computed tomography (CT) suggested a possible biliary cystadenoma or cystadenocarcinoma.
- The patient underwent liver resection for the lesion.
Findings:
- Histopathology confirmed the diagnosis of serous biliary cystadenoma.
- Radiological features of this uncommon condition were highlighted.
Implications:
- This case underscores the importance of detailed radiological assessment for cystic liver lesions.
- A management algorithm for such lesions is proposed to guide clinical practice.
- Early diagnosis and appropriate management are crucial for pre-malignant conditions like biliary cystadenoma.
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