Related Experiment Video
Updated: Mar 19, 2026
04:41
Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
1.8K
Rapidly enlarging hepatobiliary cystadenoma
Hiroshi Yoshida1, Takashi Tajiri1, Yasuhiro Mamada1
1First Department of Surgery, Nippon Medical School, 1-1-5 Sendagi, Bunkyo-ku, 113-8603, Tokyo, Japan.
Journal of Medical Ultrasonics (2001)
|June 10, 2016
Summary
A rare hepatobiliary cystadenoma caused severe symptoms due to rapid enlargement. Prompt drainage and surgical removal (left hepatectomy) successfully treated this potentially malignant liver tumor.
Area of Science:
- Hepatobiliary Surgery
- Gastroenterology
- Medical Imaging
Background:
- Hepatobiliary cystadenoma is a rare cystic liver tumor.
- Rapid enlargement can cause significant abdominal pain and obstructive jaundice.
- Early diagnosis and intervention are crucial due to malignant potential.
Purpose of the Study:
- To report an unusual case of a rapidly enlarging hepatobiliary cystadenoma.
- To highlight the diagnostic and therapeutic challenges.
- To emphasize the importance of surgical excision.
Main Methods:
- Magnetic resonance imaging (MRI) for lesion characterization and monitoring.
- Percutaneous transhepatic drainage for symptom relief.
- Endoscopic retrograde cholangiography (ERC) and cystography for anatomical assessment.
- Left hepatectomy for definitive treatment.
Main Results:
- A 73-year-old woman presented with severe abdominal pain and obstructive jaundice due to a 14 cm hepatobiliary cystadenoma.
- Percutaneous drainage provided temporary symptom relief and reduced bilirubin levels.
- Imaging confirmed communication between the cyst and intrahepatic bile ducts.
- Pathologic examination confirmed hepatobiliary cystadenoma, necessitating left hepatectomy.
Conclusions:
- Hepatobiliary cystadenoma, though rare and typically benign, requires surgical excision due to its potential for malignancy.
- Multimodality imaging and interventional procedures are key in managing such cases.
- Prompt surgical intervention is essential for favorable outcomes.
