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Cardiac compression of a hepatic cyst in polycystic liver disease: A rare cause of hemodynamic instability
Polycystic liver disease (PLD) develops due to embryonic ductal plate malformation of intrahepatic bile ducts. Cysts in the liver can range from a simple compression effect to severe liver failure. The most common complication is rupture and inflammation of cyst. It can sometimes progress to the ext...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wolters Kluwer - Medknow
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305665/ https://www.ncbi.nlm.nih.gov/pubmed/32587930 http://dx.doi.org/10.4103/2452-2473.279558 |
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author | Algın, Abdullah Özdemir, Serdar Sarıaydın, Mehmet Erdoğan, Mehmet Özgür Inan, Ibrahim |
author_facet | Algın, Abdullah Özdemir, Serdar Sarıaydın, Mehmet Erdoğan, Mehmet Özgür Inan, Ibrahim |
author_sort | Algın, Abdullah |
collection | PubMed |
description | Polycystic liver disease (PLD) develops due to embryonic ductal plate malformation of intrahepatic bile ducts. Cysts in the liver can range from a simple compression effect to severe liver failure. The most common complication is rupture and inflammation of cyst. It can sometimes progress to the extent of pushing the heart to the left or compressing the inferior vena cava, thereby reducing the venous return. Here, we present a case with giant liver cyst-related symptoms that caused external compression of the right ventricle and atrium. A 71-year-old female patient was admitted to our emergency department with increasing dyspnea, chest pain, and abdominal distension. Her vital signs were as follows: temperature 38°C, pulse 140 beats/min, and blood pressure 70/40 mmHg. Her abdomen was distended, and there was minimal epigastric tenderness. Hepatomegaly was also present. Posteroanterior chest radiography revealed opacity that erased the right diaphragm contour at the right inferior hemithorax. In thoracoabdominal computed tomography, the heart was deviated toward the left due to the compression of a large cystic formation located in the hepatic right lobe, pushing the diaphragm to the superior. Piperacillin/tazobactam 3 g × 4.5 g treatment was initiated, and external drainage was performed by interventional radiology. Following this procedure, significant improvement was observed in the patient’s condition. Her symptoms significantly improved, and the drainage catheter was removed on the seventh day. Hepatic cysts in patients with PLD may compress adjacent structures, and cardiac compression can be life-threatening if hemodynamic instability occurs. |
format | Online Article Text |
id | pubmed-7305665 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Wolters Kluwer - Medknow |
record_format | MEDLINE/PubMed |
spelling | pubmed-73056652020-06-24 Cardiac compression of a hepatic cyst in polycystic liver disease: A rare cause of hemodynamic instability Algın, Abdullah Özdemir, Serdar Sarıaydın, Mehmet Erdoğan, Mehmet Özgür Inan, Ibrahim Turk J Emerg Med Case Report Polycystic liver disease (PLD) develops due to embryonic ductal plate malformation of intrahepatic bile ducts. Cysts in the liver can range from a simple compression effect to severe liver failure. The most common complication is rupture and inflammation of cyst. It can sometimes progress to the extent of pushing the heart to the left or compressing the inferior vena cava, thereby reducing the venous return. Here, we present a case with giant liver cyst-related symptoms that caused external compression of the right ventricle and atrium. A 71-year-old female patient was admitted to our emergency department with increasing dyspnea, chest pain, and abdominal distension. Her vital signs were as follows: temperature 38°C, pulse 140 beats/min, and blood pressure 70/40 mmHg. Her abdomen was distended, and there was minimal epigastric tenderness. Hepatomegaly was also present. Posteroanterior chest radiography revealed opacity that erased the right diaphragm contour at the right inferior hemithorax. In thoracoabdominal computed tomography, the heart was deviated toward the left due to the compression of a large cystic formation located in the hepatic right lobe, pushing the diaphragm to the superior. Piperacillin/tazobactam 3 g × 4.5 g treatment was initiated, and external drainage was performed by interventional radiology. Following this procedure, significant improvement was observed in the patient’s condition. Her symptoms significantly improved, and the drainage catheter was removed on the seventh day. Hepatic cysts in patients with PLD may compress adjacent structures, and cardiac compression can be life-threatening if hemodynamic instability occurs. Wolters Kluwer - Medknow 2020-02-26 /pmc/articles/PMC7305665/ /pubmed/32587930 http://dx.doi.org/10.4103/2452-2473.279558 Text en Copyright: © 2019 Turkish Journal of Emergency Medicine http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms. |
spellingShingle | Case Report Algın, Abdullah Özdemir, Serdar Sarıaydın, Mehmet Erdoğan, Mehmet Özgür Inan, Ibrahim Cardiac compression of a hepatic cyst in polycystic liver disease: A rare cause of hemodynamic instability |
title | Cardiac compression of a hepatic cyst in polycystic liver disease: A rare cause of hemodynamic instability |
title_full | Cardiac compression of a hepatic cyst in polycystic liver disease: A rare cause of hemodynamic instability |
title_fullStr | Cardiac compression of a hepatic cyst in polycystic liver disease: A rare cause of hemodynamic instability |
title_full_unstemmed | Cardiac compression of a hepatic cyst in polycystic liver disease: A rare cause of hemodynamic instability |
title_short | Cardiac compression of a hepatic cyst in polycystic liver disease: A rare cause of hemodynamic instability |
title_sort | cardiac compression of a hepatic cyst in polycystic liver disease: a rare cause of hemodynamic instability |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7305665/ https://www.ncbi.nlm.nih.gov/pubmed/32587930 http://dx.doi.org/10.4103/2452-2473.279558 |
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