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Adult hepatic fibropolycystic disease presenting as obstructive jaundice

A J Williams1, S R Wild, K R Palmer

  • 1Department of Gastroenterology, Western General Hospital, Edinburgh.

Gut
|September 1, 1990
PubMed

Insights

A simple hepatic cyst caused obstructive jaundice by compressing the common hepatic duct. Percutaneous aspiration of the cyst resolved the jaundice, with the patient remaining well for 12 months.

Area of Science:

  • Hepatology
  • Gastroenterology
  • Interventional Radiology

Background:

  • Obstructive jaundice can arise from various causes, including biliary compression.
  • Hepatic cysts, though often asymptomatic, can rarely lead to complications like biliary obstruction.

Observation:

  • A 31-year-old male presented with obstructive jaundice.
  • Imaging revealed a simple hepatic cyst compressing the common hepatic duct.

Findings:

  • Percutaneous aspiration of the hepatic cyst under ultrasound guidance was performed.
  • The procedure successfully relieved the common hepatic duct compression.

Implications:

  • This case highlights a rare cause of obstructive jaundice and its effective minimally invasive treatment.
  • Ultrasound-guided percutaneous aspiration is a viable option for managing symptomatic hepatic cysts causing biliary obstruction.

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