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Bleeding into a liver cyst can be treated conservatively
1Department of Internal Medicine, St Franciscus Gasthuis, Rotterdam, The Netherlands.
Objective:
To report the case of a patient with haemorrhage in a large hepatic cyst.
Patient:
A 66-year-old man, who presented with right shoulder pain and subsequent sudden abdominal pain. A large hepatic cyst containing blood was found at ultrasonography.
Interventions:
The patient was treated conservatively.
Results:
The patient's symptoms resolved quickly. No symptoms or complications recurred during a follow-up of 2 years.
Conclusion:
Therapy for non-parasitic liver cysts is indicated when symptoms or complications related to the cysts occur. This case shows that spontaneous haemorrhage into a non-parasitic hepatic cyst may follow a benign course and may be treated conservatively.