Arrangements of Hepatobiliary Cystadenoma Complicated With Congenital Choledochal Cyst. Issue 3 (January 2015)

• Record Type: Journal Article
• Authors: Li, En-Liang; Shi, Shi-Dai; Huang, Yong; Wu, Lin-Quan; Merrett., Neil
• Is Part Of: Medicine. Volume 94:Issue 3(2015)
• Publication Date: 2015-01
• Subjects: Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000000400
• Languages: English
• ISSNs: 0025-7974

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Abstract</title> <p>Hepatobiliary cystadenoma complication with congenital choledochal cyst is extremely rare and has never been reported in literatures so far.</p> <p>The aim of the study was to investigate the disease arrangements by analyzing the case and performing a systematic review of the literature.</p> <p>This case report documents the details and clear patterns of the patient. A 65-year-old woman with fever (39.2°C), nausea, vomiting, and chronic hepatitis B imaging demonstrated a left hepatic multilocular cystic mass and cystic dilated common bile duct.</p> <p>A regular left hemihepatectomy was performed with resection of the entire tumor and choledochal cyst.</p> <p>The surgical margins were negative and a final diagnosis of hepatobiliary cystadenoma complicated with congenital choledochal cyst was established. The patient had an uneventful postoperative recovery and liver function returned to normal levels.</p> <p>Main lessons learned from this case are: the awareness should be raised about the disease to avoid misdiagnosis; preoperative ultrasonography, computed tomography, magnetic resonance imaging, and magnetic resonance cholangiopancreatography play an important role in detecting the lesion; the scope and timing of the surgery should be determined, which provide the chance of cure to complete resection of the tumor.</p> </sec> </abstract>