Case Report
Copyright ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Mar 6, 2022; 10(7): 2294-2300
Published online Mar 6, 2022. doi: 10.12998/wjcc.v10.i7.2294
Giant infected hepatic cyst causing exclusion pancreatitis: A case report
Tsuneaki Kenzaka, Yu Sato, Hogara Nishisaki
Tsuneaki Kenzaka, Yu Sato, Hogara Nishisaki, Department of Internal Medicine, Hyogo Prefectural Tamba Medical Center, 2002-7 Iso, Hikami-cho, Tamba, Hyogo 669-3495, Japan
Tsuneaki Kenzaka, Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, 2-1-5, Arata-cho, Hyogo-ku, Kobe, Hyogo 652-0032, Japan
Author contributions: Kenzaka T managed the case and redacted and corrected the manuscript; Sato Y and Nishisaki H assisted with redaction, correction, and reconstruction of the manuscript; all authors read and approved the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication of this case report and accompanying images. A copy of the written consent is available for review by the Editor of this journal.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist statement, and the manuscript was prepared and revised according to the CARE Checklist statement.
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: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Tsuneaki Kenzaka, MD, PhD, Professor, Division of Community Medicine and Career Development, Kobe University Graduate School of Medicine, 2-1-5, Arata-cho, Hyogo-ku, Kobe, Hyogo 652-0032, Japan. smile.kenzaka@jichi.ac.jp
Received: September 15, 2021
Peer-review started: September 15, 2021
First decision: October 18, 2021
Revised: October 24, 2021
Accepted: January 25, 2022
Article in press: January 25, 2022
Published online: March 6, 2022
Processing time: 167 Days and 21.4 Hours
Core Tip

Core Tip: A giant infected hepatic cyst may cause exclusion pancreatitis. Thus, attention should be paid to the appearance of symptoms and elevation in the levels of pancreatic enzymes. In case of a slight improvement in clinical symptoms and imaging findings with antibiotic therapy alone or exclusion of surrounding organs, percutaneous cyst puncture and drainage or surgical therapy can be considered. Further, close follow-up is needed to avoid potential recurrence.