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Microscopic Cyst Resection for the Treatment of Patients Diagnosed with Epididymal Cyst
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Infectious Hepatic Cyst: An Underestimated Complication.
Kazuhiko Morii1, Takeharu Yamamoto1, Shinichiro Nakamura1
1Department of Hepatology, Japanese Red Cross Society Himeji Hospital, Japan.
Internal Medicine (Tokyo, Japan)
|March 13, 2018
Summary
Infectious hepatic cysts (IHCs) are not as rare as previously thought. Imaging can help diagnose IHCs, which often have good treatment outcomes with drainage.
Area of Science:
- Hepatology
- Infectious Diseases
- Radiology
Background:
- Infectious hepatic cysts (IHCs) are hepatic cysts with secondary infection.
- IHCs are generally considered rare, but recent clinical experience suggests otherwise.
Purpose of the Study:
- To examine the incidence and clinical characteristics of IHCs.
- To compare IHCs with pyogenic liver abscesses (PLAs).
Main Methods:
- Retrospective review of medical records for patients hospitalized between January 2012 and December 2016.
- Analysis of demographic, biochemical, bacteriological, imaging, and treatment data.
- Comparison of 12 IHC patients with 39 PLA patients.
Main Results:
- IHCs were larger and occurred in older women more frequently than PLAs.
- Characteristic imaging findings for IHCs include heterogeneous contents, thickened walls with rim enhancement, and perilesional edema.
- Patients with IHCs had shorter hospital stays compared to those with PLAs.
Conclusions:
- Infectious hepatic cysts (IHCs) are not rare and should be considered in clinical practice.
- Imaging evaluation is crucial for suggesting IHCs, and aspiration aids diagnosis.
- The confined nature of IHCs may contribute to favorable treatment outcomes with catheter drainage.
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