Hepatitis A-associated jaundice, intermittent abdominal pain, and hepatic cystic mass: case report

Mucinous cystic neoplasms of the liver are mostly benign but state challenging clinical problems. The case report emphasizes the need for thorough assessment and surgery intervention in patients with hepatic cystic masses in the context of potential biliary complications. A 21-year-old female patient presented with jaundice, minimal pruritus, and episodic right upper quadrant pain and a recent history of hepatitis A infection raised the initial concern. Imaging confirmed a multiseptated hepatic cystic mass with biliary communication, consistent with an MCN. The patient was treated with an exploratory laparotomy with successful enucleation of the cyst, preserving biliary anatomy. The patient has experienced an uneventful recovery, focused on the effectiveness of the multidisciplinary approach involving gastroenterology, hepatology, and surgery. Hence, comprehensive diagnostics, skilled surgical techniques, and personal treatment strategies are needed to understand the nature of long-term effects and risk factors for recurrence.