Segment I intrahepatic biliary cystadenocarcinoma impinging on the hepatic vein
1Service de chirurgie digestive et de la transplantation hépatique, hôpital de la Croix-Rousse, 103, Grande-rue-de-la-Croix-Rousse, 69004 Lyon, France. olivierfacy@yahoo.fr
Background:
Biliary cystadenoma is a rare cystic tumor; prognosis is dependent on the completeness of the surgical resection.
Case Report:
The case of a 65-year-old woman with a multilocular cystic hepatic tumor is reported. Radiological and laboratory findings suggested the diagnosis of cystadenoma with localized malignant degeneration.
Results:
A surgical resection of hepatic Segment I was performed, requiring total vascular exclusion (TVE) of the liver and a needle aspiration of a non-degenerated cyst to permit total resection.
Conclusions:
TVE and decompression of a cyst presumed to be benign may be warranted to achieve a safe and complete resection of biliary cystadenoma.
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