2013, Number 2
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Ann Hepatol 2013; 12 (2)
Hemorrhagic liver cyst rupture: An unusual life-threatening complication of hepatic cyst and literature review
Marion Y, Brevart C, Plard L, Chiche L
Language: English
References: 20
Page: 336-339
PDF size: 214.65 Kb.
ABSTRACT
Background & aims. Hemorrhagic rupture is an extremely rare complication of hepatic cyst. Its incidence,
gravity and treatment modalities are inadequately covered in the literature.
Material and methods. Based on a case report concerning a 37 year-old, 13-weeks pregnant woman, presenting with hemorrhagic shock subsequent to hemorrhagic rupture of a hepatic cyst and requiring urgent surgery, a review of the literature was conducted.
Results. To date, 11 cases have been described in the literature. This complication is particularly serious with six cases of hemorrhagic shock, three of which led to death. In the majority of cases, urgent surgical treatment is required.
Conclusions. Hepatic cysts are frequent benign tumors of the liver which are most often discovered fortuitously. Hemorrhagic rupture is the rarest associated
complication, yet requires to be known for it is both serious and lethal and necessitates urgent surgical intervention.
REFERENCES
Gaines PA, Sampson MA. The prevalence and characterization of simple hepatic cysts by ultrasound examination. Br J Radiol 1989; 62: 335-7.
Santman FW, Thijs LG, Van Der Veen EA, Den Otter G, Blok P. Intermittent jaundice: a rare complication of a solitary nonparasitic liver cyst. Gastroenterology 1977; 72: 325-8.
Le Borgne J, Guilberteau-Canfrère V, Bruley des Varannes S, Sagan C. Les kystes biliaires simples. Hepato-gastro 1995; 2: 129-37.
Zhang YL, Yuan L, Shen F, Wang Y. Hemorrhagic hepatic cysts mimicking biliary cystadenoma. World J Gastroenterol 2009; 15: 4601-3.
Salemis NS, Georgoulis E, Gourgiotis S, Tsohataridis E. Spontaneous rupture of a giant non parasitic hepatic cyst presenting as an acute surgical abdomen. Ann Hepatol 2007; 6: 190-3. Review.
Miliadis L, Giannakopoulos T, Boutsikos G, Terzis I, Kyriazanos ID. Spontaneous rupture of a large non-parasitic liver cyst: a case report. J Med Case Reports 2010; 4: 2.
Davis CK, Schoffstall RO, Glass TF. Fatal complication of hepatic cystic disease. South Med J 1981; 74: 1409-11.
Fidas-Kamini A, Busuttil A. Fatal intraperitoneal haemorrhage of hepatic origin. Postgrad Med J 1986; 62: 1097-100.
Lotz GW, Stahlschmidt M. Intra-abdominal bleeding after rupture of hepatic cyst. South Med J 1989; 82: 667.
Rutecki GW, Asfoura JY, Whittier FC. Autosomal dominant polycystic liver disease as an etiology for hemoperitoneum during CCPD. Perit Dial Int 1995; 15: 367-9.
Chung TK, Chen KS, Yen CL, Chen HY, Cherng WJ, Fang KM. Acute abdomen in a haemodialysed patient with polycystic kidney disease—rupture of a massive liver cyst. Nephrol Dial Transplant 1998; 13: 1840-2.
Yamaguchi M, Kuzume M, Matsumoto T, Matsumiya A, Nakano H, Kumada K. Spontaneous rupture of a nonparasitic liver cyst complicated by intracystic hemorrhage. J Gastroenterol 1999; 34: 645-8.
Ishikawa H, Uchida S, Yokokura Y, Iwasaki Y, Horiuchi H, Hiraki M, Kinoshita H, et al. Nonparasitic solitary huge liver cysts causing intracystic hemorrhage or obstructive jaundice. J Hepatobiliary Pancreat Surg 2002; 9: 764-8.
Carels RA, van Bommel EF. Ruptured giant liver cyst: a rare cause of acute abdomen in a haemodialysis patient with autosomal dominant polycystic kidney disease. Neth J Med 2002; 60: 363-5.
Kanazawa A, Yoshioka Y, Inoi O, Kubo S, Kinoshita H. Intracystic hemorrhage with spontaneous rupture of liver cyst complicated by infection: a case report. Osaka City Med J 2003; 49: 57-60.
Cheung FK, Lee KF, John W, Lai PB. Emergency laparoscopic unroofing of a ruptured hepatic cyst. JSLS 2005; 9: 497-9.
Takahashi G, Yoshida H, Mamada Y, Taniai N, Bando K, Tajiri T. Intracystic hemorrhage of a large simple hepatic cyst. J Nippon Med Sch 2008; 75: 302-5.
Gabow PA. Autosomal dominant polycystic kidney disease. N Engl J Med 1993; 329: 332-42. Review.
Everson GT. Hepatic cysts in autosomal dominant polycystic kidney disease. Am J Kidney Dis 1993; 22: 520-5.
van Gulick JJ, Gevers TJ, van Keimpema L, Drenth JP. Hepatic and renal manifestations in autosomal dominant polycystic kidney disease: a dichotomy of two ends of a spectrum. Neth J Med 2011; 69: 367-71.