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Pan Afr Med J 2021 9;38:144. Epub 2021 Feb 9.

Service de Chirurgie Viscérale et Oncologie Digestive A, Centre Hospitalier Universitaire Mohammed VI, Oujda, Maroc.

Congenital cystic disease of the biliary tree is a known risk factor for gallbladder cancer. We here report a case of squamous cell carcinoma of the bile duct (BD) complicating a cystic dilatation of the bile ducts in a 54-year-old woman hospitalized for biliary pancreatitis. Abdominal scanner showed nodular thickening of the fundus of the gallbladder and fusiform dilation of the cystic duct and the main bile duct (VBP) with lesion of the tail of the pancreas, initially suggesting mucinous cystadenoma. Read More

Pancreas 2021 Mar;50(3):434-440

From the Division of Surgical Oncology, Department of Surgery.

Abstract: The incidence of pancreatic cystic neoplasms has grown because of increased detection. Among these lesions, serous cystadenoma was traditionally thought to be universally benign and indolent. However, there is an exceedingly rare malignant variant of serous cystadenoma known as serous cystadenocarcinoma (SCAC) that can exhibit local invasion into adjacent structures, hepatic implants, and metastatic spread to the abdominal viscera. Read More

BMC Surg 2021 Mar 20;21(1):146. Epub 2021 Mar 20.

Department of General Surgery, School of Medicine, Sir Run Run Shaw Hospital, Zhejiang University, 3 East Qingchun Road, Hangzhou, 310016, Zhejiang, China.

Background: Hepatobiliary mucinous cystic neoplasms (H-MCNs) are relatively rare cystic neoplasms in the liver. The differential diagnosis of H-MCNs remains big challenging, and the management and prognosis between the hepatic simple cyst (HSC) and H-MCNs are quite different. This study aimed to present our experience in the management of H-MCNs and provide a preoperative H-MCNs risk prediction nomogram to differentiating H-MCNs from liver cystic lesions. Read More

BMC Gastroenterol 2021 Feb 23;21(1):84. Epub 2021 Feb 23.

Department of Hepatobiliary Surgery, The Affiliated Hospital of Guangdong Medical University, Zhanjiang, Guangdong, People's Republic of China.

Background: Hepatic cavernous hemangioma is the most common type of benign liver tumor. Although ruptures and hemorrhages of hepatic hemangioma are rare complications, they are associated with high mortality. Most practitioners only pay more attention to abdominal hemorrhages caused by the rupture of hepatic hemangiomas. Read More

Dig Dis Sci 2021 Jan 6. Epub 2021 Jan 6.

Department of Pathology, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Ann Med Surg (Lond) 2021 Jan 3;61:13-15. Epub 2020 Dec 3.

Department of Faculty Surgery №1 of I.M. Sechenov, First Moscow State Medical University (Sechenov University), Russia.

Hepatic cystadenoma is an urgent problem due to the high risk of malignant transformation. There are both radical and minimally invasive methods of treatment. We present a clinical case describing the successful use of microwave ablation (MWA) in a 72-year-old woman with hepatic cystadenoma. Read More

World J Clin Cases 2020 Nov;8(22):5670-5677

Department of Radiology, First Hospital of Shanxi Medical University, Taiyuan 030001, Shanxi Province, China.

Background: Biliary cystadenoma (BCA) is a rare benign tumor, accounting for only 5% of reported cystic lesions of the liver. Given its potential for malignancy and high rate of recurrence, surgical resection is the preferred treatment. Therefore, early and accurate preoperative diagnosis is critical to the choice of treatment. Read More

BMC Surg 2020 Dec 11;20(1):328. Epub 2020 Dec 11.

Division of Liver Transplant Surgery, Samaritano Higienopolis Hospital, São Paulo, Brazil.

Background: Mucinous cyst neoplasm of the liver (MCN-L) comprise less than 5% of all cystic liver lesions and is characterized by the presence of ovarian stroma and absence of bile duct communication.

Case Presentation: Here, we discuss a 45-year-old woman who presented with symptomatic liver mass. Diagnostic workup detected a 4. Read More

Clin J Gastroenterol 2021 Feb 20;14(1):258-262. Epub 2020 Nov 20.

Department of Digestive Surgery, CHU Amiens and University of Picardie, 1 rue du Professeur Christian Cabrol, 80054, Amiens cedex, France.

Simple hepatic cysts are very common, but may be difficult to differentiate from a biliary cystadenoma or cystadenocarcinoma. Because the surgical treatment if needed, such as a hepatic fenestration or resection, depends on the diagnosis, the assay of intracystic tumor markers is useful.We report the case of a 67-year-old woman with a large hepatic cyst responsible of pain and inflammation. Read More

J Gastrointest Surg 2021 01 20;25(1):77-84. Epub 2020 Oct 20.

Department of Surgery, University of California San Francisco, 533 Parnassus Avenue, Room 370, San Francisco, CA, USA.

Background: Hepatic cyst disease is often asymptomatic, but treatment is warranted if patients experience symptoms. We describe our management approach to these patients and review the technical nuances of the laparoscopic approach.

Methods: Medical records were reviewed for operative management of hepatic cysts from 2012 to 2019 at a single, tertiary academic medical center. Read More

Zhonghua Wai Ke Za Zhi 2020 Jul;58(7):512-515

Department of Gastroenterology and Pancreatic Surgery, Zhejiang Province People's Hospital, Key Laboratory of Gastroenterology of Zhejiang Province, Hangzhou 310014, China.

To summarize the characteristics and difficulties of minimal invasive surgery for adolescent with pancreatic head tumor. The data of adolescent younger than 28 years old with pancreatic head tumor treated at Department of Gastroenterology and Pancreatic Surgery, Zhejiang Province People's Hospital from January 2014 to December 2019 were analyzed retrospectively. Fifteen cases were enrolled, included 5 males and 10 females. Read More

In Vivo 2020 Jul-Aug;34(4):2067-2071

Department of Surgery, Yamaga City Medical Center, Kumamoto, Japan.

Background/aim: Hepatic xanthogranuloma is a very rale disease and formation process is unknown.

Case Report: A 69-year-old woman previously diagnosed as simple liver cyst. Two years before, a 36-mm liver cyst was found in segment 5, while one year later, the hemorrhagic cyst was 40 mm in diameter and a thin septum had formed. Read More

Cir Esp 2021 Jan 19;99(1):27-33. Epub 2020 May 19.

Unidad de Cirugía Hepato-Bilio-Pancreática y Trasplante de Órganos Abdominales, Servicio de Cirugía General, Hospital Universitario 12 de Octubre, Madrid, España; Departamento de Cirugía, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España.

Introduction: The hepatic cystic tumour is a very rare neoplasm, representing about 5% of all cystic liver neoplasms. The preoperative diagnosis is difficult and can lead to confusion. The aim of this study is to analyze a number of cases operated at our centre with an histologic diagnosis of liver cystic neoplasms and also to describe the sintomathology, diagnosis and management as per the recent classification. Read More

J Gastroenterol Hepatol 2020 Jul 3;35(7):1098. Epub 2020 May 3.

Organ Transplantation Center, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, Sichuan, China.

Ann Surg Oncol 2020 Oct 7;27(10):3926-3927. Epub 2020 Apr 7.

Department of Pancreatic Surgery, West China Hospital, Sichuan University, Chengdu, China.

Background: In 1972, Beger et al.1 first described duodenum-preserving pancreatic head resection (DPPHR) for patients with severe chronic pancreatitis. Then DPPHR also was proved capable of providing comparable long-term oncologic outcomes in the setting of benign or low-grade malignant tumors. Read More

Ann Hepatobiliary Pancreat Surg 2020 Feb 27;24(1):85-89. Epub 2020 Feb 27.

Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

The advancement of radiological investigations has led to the early and incidental detection of hepatic cystic lesions. These are most commonly the simple cysts but can be malignant as well. Despite the recent advances, these lesions still pose a diagnostic as well as therapeutic challenge. Read More

J Surg Case Rep 2019 Dec 17;2019(12):rjz360. Epub 2019 Dec 17.

CHR Val de Sambre, Auvelais, Belgium.

Although many types of pancreatic tumors exist, pancreatic solid serous cystadenoma stand as the most rare. Despite advances in medical imaging, definitive diagnosis remains complex. Here, we report a case of a 63-year-old man with a suspicious lesion of the pancreas discovered during a positron emission tomography-computed tomography. Read More

BMC Gastroenterol 2019 Jun 24;19(1):103. Epub 2019 Jun 24.

Division of General Surgery, Jewish General Hospital, 3755 Côte-Sainte-Catherine, Montréal, QC, H3T 1E2, Canada.

Background: Biliary mucinous cystic neoplasms are rare cystic lesions of the liver which carry pre-malignant potential. Given the scarcity of reports in the literature, they pose a considerable challenge to clinical management, particularly with regards to accurate pre-operative diagnosis.

Case Presentation: We present the case of a 37-year-old Tunisian woman who presented with subacute right upper quadrant pain and a large multi-loculated cystic lesion, most consistent with a hydatid cyst. Read More

J Feline Med Surg 2019 05;21(5):429-441

Radiology Department, Willows Veterinary Centre and Referral Service, Highlands Road, Shirley, Solihull B90 4NH, UK.

Practical Relevance: Abdominal ultrasound plays a vital role in the diagnostic work-up of many cats presenting to general and specialist practitioners. The biliary tree encompasses the liver, gall bladder and bile ducts, although only diseases affecting the latter two are discussed here. Diseases of the bile ducts and gall bladder are more common than those of the liver parenchyma and ultrasound plays an important role in their diagnosis. Read More

Comb Chem High Throughput Screen 2019 ;22(4):276-279

Department of Hepatobiliary Surgery, Shaoxing People's Hospital (Shaoxing Hospital, Zhejiang University School of Medicine, The First Affiliated Hospital of Shaoxing University), Shaoxing 312000, China.

Background: Intrahepatic Biliary Cystadenoma (IBC) is rare but has a high incidence of misdiagnosis, especially for experienceless surgeons.

Case: We report a case of IBC located in the caudate lobe and described a typical procedure of misdiagnosing this disease. Finally, the patient was successfully cured, but the procedure of misdiagnosis should attract attention. Read More

J Feline Med Surg 2019 01;21(1):12-24

Radiology Department, Willows Veterinary Centre and Referral Service, Highlands Road, Shirley, Solihull B90 4NH, UK.

Practical Relevance: Abdominal ultrasound plays a vital role in the diagnostic work-up of many cats presenting to general and specialist practitioners. Ultrasound examination of the liver can be key in the diagnosis of diseases such as hepatic lipidosis and hepatic neoplasia.

Clinical Challenges: Despite ultrasonography being a commonly used modality, many practitioners are not comfortable performing an ultrasound examination or interpreting the resulting images. Read More

BMJ Case Rep 2019 Jan 10;12(1). Epub 2019 Jan 10.

Department of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, Puducherry, India.

Cystic neoplasms of the liver are rare tumours. According to the recent WHO classification, they are classified into mucinous cystic neoplasm and intraductal papillary neoplasm based on the presence of ovarian-like stroma and biliary communication. We report two rare cases of mucinous cystadenoma of the liver with biliary communication and discuss the shortcomings of current classification. Read More

BMJ Case Rep 2018 Dec 9;11(1). Epub 2018 Dec 9.

Department of Surgery, Amsterdam UMC, University of Amsterdam, The Netherlands.

A 33-year-old Thai born woman was referred to our tertiary referral hospital with back and epigastric pain. Investigations included abdominal ultrasound and CT scan of the abdomen which demonstrated a 3 cm cystic lesion in the head of the pancreas, most likely a mucinous cystadenoma. Because of its malignant potential resection was advised. Read More

BMJ Case Rep 2018 Sep 1;2018. Epub 2018 Sep 1.

General Surgery, Sree Balaji Medical College and Hospital, Chennai, India.

We present a rare case of simultaneous occurrence of mucinous cystadenoma of the liver (MCN-L) and a hepatic hydatid cyst (HD-L) in a middle-aged female patient. This is the first case report of a common disease (HD-L) and a rare condition (MCN-H) occurring concurrently. MCN-H of the left lobe was inadequately resected in a rural centre leading to recurrence. Read More

Rev Esp Enferm Dig 2018 Sep;110(9):598

General Surgery, 52(55)5724-5900, México.

Hepatic mucinous cystic neoplasms represent a challenging pathology due to their very low frequency, insidious presentation and unclear demography due to the limited cases reported to date. Surgical treatment is mandatory when possible to prevent recurrence and malignant transformation. The case presented herein has a peculiarity, mainly an increased level of CA 19-9 which has not been previously reported. Read More

Eur Rev Med Pharmacol Sci 2018 03;22(5):1387-1396

Second Department of Propedeutic Surgery, Laiko General Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Objective: Liver cysts are divided into congenital and acquired. Congenital cystic lesions include polycystic liver disease, simple cysts, duct related and ciliated hepatic foregut cysts. Acquired cystic lesions are divided into infectious and non-infectious. Read More

Pan Afr Med J 2017 4;28:106. Epub 2017 Oct 4.

Department of Pathology, University of Botswana, Sir Ketumile Masire University Hospital, Mogoditshane, Botswana.

A 43-year-old female presented at the accident and emergency department of Princess Marina Hospital, Gaborone, Botswana. She reported a deep dull aching pain of two years duration in the right iliac fossa that has been progressively becoming worse. Ultrasound revealed a large sausage like cystic mass extending from the pelvis up to the medial aspect of the ascending colon. Read More

J Med Case Rep 2018 Feb 15;12(1):33. Epub 2018 Feb 15.

NKC Institute of Gastroenterology and Hepatology, Faculty of Medicine, Songklanagarind Hospital, Prince of Songkla University, Hatyai, 90110, Songkhla, Thailand.

Background: Mucinous cystic neoplasm of the liver with extrahepatic growth is a rare benign epithelial neoplasm of the biliary system that presents with a mass effect or is incidentally found on imaging. The tumor affects mostly the common hepatic duct, which is difficult to diagnose preoperatively by radiology, endoscopy, or cystic fluid analysis. Endoscopic ultrasound is a noninvasive tool for the evaluation of features of a cystic lesion and the extent of disease. Read More