He XX, Sun MX, Lv K, Cao J, Zhang SY, Li JN. Percutaneous aspiration and sclerotherapy of a giant simple hepatic cyst causing obstructive jaundice: A case report and review of literature. World J Gastrointest Surg 2022; 14(7): 706-713 [PMID: 36158281 DOI: 10.4240/wjgs.v14.i7.706]
Corresponding Author of This Article
Sheng-Yu Zhang, MD, Doctor, Department of Gastroenterology, Peking Union Medical College Hospital, No. 9 Dongdan Santiao, Dongcheng District, Beijing 10000, China. hexvxia@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Surg. Jul 27, 2022; 14(7): 706-713 Published online Jul 27, 2022. doi: 10.4240/wjgs.v14.i7.706
Percutaneous aspiration and sclerotherapy of a giant simple hepatic cyst causing obstructive jaundice: A case report and review of literature
Xu-Xia He, Mei-Xing Sun, Ke Lv, Jian Cao, Sheng-Yu Zhang, Jing-Nan Li
Xu-Xia He, Mei-Xing Sun, Sheng-Yu Zhang, Jing-Nan Li, Department of Gastroenterology, Peking Union Medical College Hospital, Beijing 10000, China
Ke Lv, Department of Ultrasound, Peking Union Medical College Hospital, Beijing 10000, China
Jian Cao, Department of Radiology, Peking Union Medical College Hospital, Beijing 10000, China
Author contributions: He XX and Sun MX compiled all relevant information concerning that case and did the literature research; He XX did the drafting and review of the manuscript; Lv K and Cao J did the radiological analysis; Zhang SY did the study concept and design; Zhang SY and Li JN evaluated the whole treatment of the patient and supervised the study; all authors had reviewed and approved the final version of this manuscript.
Supported bythe Peking Union Medical College Education Reform Program, No. 2019zlgc0116; the 13th Five-Year Plan for National Key R&D Program of China, No. 2018YFC1705402; National Natural Science Foundation of China, No. 81770559 and No. 81370500; and Medical and Health Technology Innovation Project of the Chinese Academy of Medical Sciences, No. 2020-I2M-2-013.
Informed consent statement: Informed consent was obtained from the patient for publication of this case report.
Conflict-of-interest statement: The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Sheng-Yu Zhang, MD, Doctor, Department of Gastroenterology, Peking Union Medical College Hospital, No. 9 Dongdan Santiao, Dongcheng District, Beijing 10000, China. hexvxia@163.com
Received: March 2, 2022 Peer-review started: March 2, 2022 First decision: April 25, 2022 Revised: April 30, 2022 Accepted: June 20, 2022 Article in press: June 20, 2022 Published online: July 27, 2022 Processing time: 146 Days and 17 Hours
Abstract
BACKGROUND
Giant simple hepatic cysts causing intrahepatic duct dilatation and obstructive jaundice are uncommon. A variety of measures with different clinical efficacies and invasiveness have been developed. Nonsurgical management, such as percutaneous aspiration and sclerotherapy, is often applied.
CASE SUMMARY
The case is a 39-year-old female with a 5-mo history of cutaneous and scleral icterus, loss of appetite, and dark urine. Lab tests showed jaundice and liver function abnormalities. Imaging revealed a giant simple hepatic cyst obstructing the intrahepatic bile ducts. A combination of percutaneous catheter aspiration and lauromacrogol sclerotherapy was successfully performed and the effects were satisfactory with the size of cyst decreasing from 13.7 cm × 13.1 cm to 3.0 cm × 3.0 cm. Further literature review presented the challenges of managing giant simple hepatic cysts that cause obstructive jaundice and compared the safety and efficacy of a combination of percutaneous aspiration and lauromacrogol sclerotherapy with other management strategies.
CONCLUSION
Giant simple hepatic cysts can cause obstructive jaundice, and a combination of percutaneous catheter aspiration and sclerotherapy with lauromacrogol are suggested to treat such cases.
Core Tip: Giant simple hepatic cysts causing obstructive jaundice are uncommon. Here we presented the challenges of managing giant simple hepatic cysts causing obstructive jaundice and compared the safety and efficacy of percutaneous aspiration and lauromacrogol sclerotherapy with other management strategies. The case is a 39-year-old female with jaundice and liver function abnormalities. Images revealed a giant simple hepatic cyst with obstruction of intrahepatic bile ducts. A combination of percutaneous catheter aspiration and lauromacrogol sclerotherapy was conducted successively, achieving satisfactory efficacy. Therefore, a combination of percutaneous aspiration and lauromacrogol sclerotherapy may be suggested to solve such cases.
