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The management of a cystic hepatic lesion ruptured in the bile ducts: a case report

BACKGROUND: Hepatic cystadenoma is a rare benign cystic tumor; it tends to recur after incomplete surgical resection and has malignant potential. We report the case of a patient with a ruptured biliary cystadenoma in the common bile duct that caused diagnostic and therapeutic problems. CASE PRESENTA...

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Autores principales: Baba, Hicham, Belhamidi, Mohamed Said, El Fahssi, Mohammed, El Ghanmi, Jihad, Zentar, Aziz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472876/
https://www.ncbi.nlm.nih.gov/pubmed/28619080
http://dx.doi.org/10.1186/s13256-017-1329-9
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author Baba, Hicham
Belhamidi, Mohamed Said
El Fahssi, Mohammed
El Ghanmi, Jihad
Zentar, Aziz
author_facet Baba, Hicham
Belhamidi, Mohamed Said
El Fahssi, Mohammed
El Ghanmi, Jihad
Zentar, Aziz
author_sort Baba, Hicham
collection PubMed
description BACKGROUND: Hepatic cystadenoma is a rare benign cystic tumor; it tends to recur after incomplete surgical resection and has malignant potential. We report the case of a patient with a ruptured biliary cystadenoma in the common bile duct that caused diagnostic and therapeutic problems. CASE PRESENTATION: A 34-year-old North African woman, admitted for angiocholitis, was operated 2 months before for a hepatic cystic lesion taken for a hydatid cyst compressing her common bile duct. The clinical and the complementary examinations converged toward recurrence of the hydatid cyst for which a surgical resection was decided. Intraoperative findings as well as the histological study of the “membranes” extracted from her common bile duct indicated a hepatic cystadenoma. CONCLUSIONS: The rarity of hepatic cystadenoma and the non-specificity of clinical and imaging signs make diagnosis of hepatic cystadenoma difficult, especially when it is complicated by rupture in the bile ducts; this contributes to a delay in diagnosis and an inadequate therapeutic approach.
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spelling pubmed-54728762017-06-21 The management of a cystic hepatic lesion ruptured in the bile ducts: a case report Baba, Hicham Belhamidi, Mohamed Said El Fahssi, Mohammed El Ghanmi, Jihad Zentar, Aziz J Med Case Rep Case Report BACKGROUND: Hepatic cystadenoma is a rare benign cystic tumor; it tends to recur after incomplete surgical resection and has malignant potential. We report the case of a patient with a ruptured biliary cystadenoma in the common bile duct that caused diagnostic and therapeutic problems. CASE PRESENTATION: A 34-year-old North African woman, admitted for angiocholitis, was operated 2 months before for a hepatic cystic lesion taken for a hydatid cyst compressing her common bile duct. The clinical and the complementary examinations converged toward recurrence of the hydatid cyst for which a surgical resection was decided. Intraoperative findings as well as the histological study of the “membranes” extracted from her common bile duct indicated a hepatic cystadenoma. CONCLUSIONS: The rarity of hepatic cystadenoma and the non-specificity of clinical and imaging signs make diagnosis of hepatic cystadenoma difficult, especially when it is complicated by rupture in the bile ducts; this contributes to a delay in diagnosis and an inadequate therapeutic approach. BioMed Central 2017-06-16 /pmc/articles/PMC5472876/ /pubmed/28619080 http://dx.doi.org/10.1186/s13256-017-1329-9 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Baba, Hicham
Belhamidi, Mohamed Said
El Fahssi, Mohammed
El Ghanmi, Jihad
Zentar, Aziz
The management of a cystic hepatic lesion ruptured in the bile ducts: a case report
title The management of a cystic hepatic lesion ruptured in the bile ducts: a case report
title_full The management of a cystic hepatic lesion ruptured in the bile ducts: a case report
title_fullStr The management of a cystic hepatic lesion ruptured in the bile ducts: a case report
title_full_unstemmed The management of a cystic hepatic lesion ruptured in the bile ducts: a case report
title_short The management of a cystic hepatic lesion ruptured in the bile ducts: a case report
title_sort management of a cystic hepatic lesion ruptured in the bile ducts: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5472876/
https://www.ncbi.nlm.nih.gov/pubmed/28619080
http://dx.doi.org/10.1186/s13256-017-1329-9
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