A rare case of hepatic myxoma: Case Report

Myxomas are benign tumours occurring commonly, but not limited to the heart. Myxomas can also occur in various locations such as the skeletal muscles, skin, urogenital tract, subcutaneous tissue and even in bone. They are quite rare; are tumours of mesenchymal origin and usually produce mucinous type fluid. About 1 in 10 are hereditary and tend to occur more commonly in women. Common benign hepatic masses are of epithelial origin and majority are discovered incidentally on radiological abdominal or chest screening. We present a case of an intrahepatic myxoma. Clinical and radiological features in keeping with a simple hepatic cyst. The elective surgical intervention planned was that of an open cystectomy. Progression of the case led to emergency laparotomy after trauma to the patient’s abdomen and the patient presenting with an acute abdomen and clinical features of cyst rupture. Aspiration of the seemingly mixed solid-cystic mass revealed a very thick non purulent turbid fluid which was sent together with the excised mass for cytology and histopathology. Histology reported features of an intrahepatic myxoma.