eMedicine Specialties > General Surgery > Abdomen

Hepatic Cysts: Multimedia

Author: Heidi Holman Jackson, MD, Staff Physician, Department of Surgery, University of Utah School of Medicine
Coauthor(s): Sean J Mulvihill, MD, Chief, Professor, Department of Surgery, University of Utah School of Medicine
Contributor Information and Disclosures

Updated: Sep 9, 2009

Multimedia

Histology demonstrating biliary epithelium lining...Media file 1: Histology demonstrating biliary epithelium lining simple cyst.
Histology demonstrating biliary epithelium lining...

Histology demonstrating biliary epithelium lining simple cyst.

Ultrasonographic appearance of a patient with a l...Media file 2: Ultrasonographic appearance of a patient with a large simple hepatic cyst.
Ultrasonographic appearance of a patient with a l...

Ultrasonographic appearance of a patient with a large simple hepatic cyst.

Computed tomography (CT) scan appearance of a lar...Media file 3: Computed tomography (CT) scan appearance of a large hepatic cyst.
Computed tomography (CT) scan appearance of a lar...

Computed tomography (CT) scan appearance of a large hepatic cyst.

Computed tomography (CT) scan of polycystic liver...Media file 4: Computed tomography (CT) scan of polycystic liver disease curiously limited to the right lobe.
Computed tomography (CT) scan of polycystic liver...

Computed tomography (CT) scan of polycystic liver disease curiously limited to the right lobe.

Hepatic cysts. Sagittal magnetic resonance imagin...Media file 5: Hepatic cysts. Sagittal magnetic resonance imaging (MRI) reconstruction in a patient with a large echinococcal cyst; note daughter cysts in interior.
Hepatic cysts. Sagittal magnetic resonance imagin...

Hepatic cysts. Sagittal magnetic resonance imaging (MRI) reconstruction in a patient with a large echinococcal cyst; note daughter cysts in interior.

Computed tomography (CT) scan appearance of bilia...Media file 6: Computed tomography (CT) scan appearance of biliary cystadenoma.
Computed tomography (CT) scan appearance of bilia...

Computed tomography (CT) scan appearance of biliary cystadenoma.

Resection of involved liver in polycystic liver d...Media file 7: Resection of involved liver in polycystic liver disease.
Resection of involved liver in polycystic liver d...

Resection of involved liver in polycystic liver disease.

Laparoscopic view of the initial hepatic cyst pun...Media file 8: Laparoscopic view of the initial hepatic cyst puncture, before unroofing. The lesion is located high in the right lobe of the liver near the diaphragm.
Laparoscopic view of the initial hepatic cyst pun...

Laparoscopic view of the initial hepatic cyst puncture, before unroofing. The lesion is located high in the right lobe of the liver near the diaphragm.

Laparoscopic view of the beginning of unroofing a...Media file 9: Laparoscopic view of the beginning of unroofing a large simple hepatic cyst near the dome of the right lobe of the liver.
Laparoscopic view of the beginning of unroofing a...

Laparoscopic view of the beginning of unroofing a large simple hepatic cyst near the dome of the right lobe of the liver.

Drawing of final result of laparoscopic unroofing...Media file 10: Drawing of final result of laparoscopic unroofing of a large simple hepatic cyst in the right lobe of the liver.
Drawing of final result of laparoscopic unroofing...

Drawing of final result of laparoscopic unroofing of a large simple hepatic cyst in the right lobe of the liver.

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Media file 11: Initial penetration of hepatic cyst with drainage of cyst fluid.
Initial penetration of hepatic cyst with drainage...

Initial penetration of hepatic cyst with drainage of cyst fluid.

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Media file 12: Unroofing of hepatic cyst.
Unroofing of hepatic cyst.

Unroofing of hepatic cyst.

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Media file 13: Omentum sutured to excised margin.
Omentum sutured to excised margin.

Omentum sutured to excised margin.

More on Hepatic Cysts

Overview: Hepatic Cysts
Workup: Hepatic Cysts
Treatment: Hepatic Cysts
Follow-up: Hepatic Cysts
Multimedia: Hepatic Cysts
References
Further Reading

References

  1. [Best Evidence] Kim KW, Lee JM, Klotz E, et al. Quantitative CT color mapping of the arterial enhancement fraction of the liver to detect hepatocellular carcinoma. Radiology. Feb 2009;250(2):425-34. [Medline].

  2. Ulu EM, Donmez FY, Haberal N, et al. MDCT of biliary cysts in children with biliary atresia: clinical associations and pathologic correlations. Diagn Interv Radiol. Sep 2009;15(3):200-6. [Medline][Full Text].

  3. Gall TM, Oniscu GC, Madhavan K, et al. Surgical management and longterm follow-up of non-parasitic hepatic cysts. HPB (Oxford). 2009;11(3):235-41. [Medline][Full Text].

  4. Schnelldorfer T, Torres VE, Zakaria S, et al. Polycystic liver disease: a critical appraisal of hepatic resection, cyst fenestration, and liver transplantation. Ann Surg. Jul 2009;250(1):112-8. [Medline].

  5. Delis SG, Bakoyiannis A, Karakaxas D, et al. Hepatic parenchyma resection using stapling devices: peri-operative and long-term outcome. HPB (Oxford). 2009;11(1):38-44. [Medline][Full Text].

  6. Morino M, De Giuli M, Festa V, Garrone C. Laparoscopic management of symptomatic nonparasitic cysts of the liver. Indications and results. Ann Surg. Feb 1994;219(2):157-64. [Medline].

  7. Hansen P, Bhoyrul S, Legha P, et al. Laparoscopic treatment of liver cysts. J Gastrointest Surg. Jan 1997;1(1):53-47.

  8. Fabiani P, Mazza D, Toouli J, Bartels AM, Gugenheim J, Mouiel J. Laparoscopic fenestration of symptomatic non-parasitic cysts of the liver. Br J Surg. Mar 1997;84(3):321-2. [Medline].

  9. Martin IJ, McKinley AJ, Currie EJ, Holmes P, Garden OJ. Tailoring the management of nonparasitic liver cysts. Ann Surg. Aug 1998;228(2):167-72. [Medline].

  10. Katkhouda N, Hurwitz M, Gugenheim J, Mavor E, Mason RJ, Waldrep DJ, et al. Laparoscopic management of benign solid and cystic lesions of the liver. Ann Surg. Apr 1999;229(4):460-6. [Medline].

  11. Zacherl J, Scheuba C, Imhof M, Jakesz R, Függer R. Long-term results after laparoscopic unroofing of solitary symptomatic congenital liver cysts. Surg Endosc. Jan 2000;14(1):59-62. [Medline].

  12. Fiamingo P, Tedeschi U, Veroux M, Cillo U, Brolese A, Da Rold A, et al. Laparoscopic treatment of simple hepatic cysts and polycystic liver disease. Surg Endosc. Apr 2003;17(4):623-6. [Medline].

  13. Robinson TN, Stiegmann GV, Everson GT. Laparoscopic palliation of polycystic liver disease. Surg Endosc. Jan 2005;19(1):130-2. [Medline].

  14. Konstadoulakis MM, Gomatos IP, Albanopoulos K, Alexakis N, Leandros E. Laparoscopic fenestration for the treatment of patients with severe adult polycystic liver disease. Am J Surg. Jan 2005;189(1):71-5. [Medline].

  15. Fabiani P, Iannelli A, Chevallier P, Benchimol D, Bourgeon A, Gugenheim J. Long-term outcome after laparoscopic fenestration of symptomatic simple cysts of the liver. Br J Surg. May 2005;92(5):596-7. [Medline].

  16. Cirenei A, Bertoldi I. Evolution of surgery for liver hydatidosis from 1950 to today: analysis of a personal experience. World J Surg. Jan 2001;25(1):87-92. [Medline].

  17. Diez J, Decoud J, Gutierrez L, Suhl A, Merello J. Laparoscopic treatment of symptomatic cysts of the liver. Br J Surg. Jan 1998;85(1):25-7. [Medline].

  18. Dziri C, Haouet K, Fingerhut A. Treatment of hydatid cyst of the liver: where is the evidence?. World J Surg. Aug 2004;28(8):731-6. [Medline].

  19. Elhamel A. Pericystectomy for the treatment of hepatic hydatid cysts. Surgery. Mar 1990;107(3):316-20. [Medline].

  20. Everson GT, Taylor MR, Doctor RB. Polycystic disease of the liver. Hepatology. Oct 2004;40(4):774-82. [Medline].

  21. Farges O, Bismuth H. Fenestration in the management of polycystic liver disease. World J Surg. Jan-Feb 1995;19(1):25-30. [Medline].

  22. Hughes MA, Petri WA Jr. Amebic liver abscess. Infect Dis Clin North Am. Sep 2000;14(3):565-82, viii. [Medline].

  23. Johannsen EC, Sifri CD, Madoff LC. Pyogenic liver abscesses. Infect Dis Clin North Am. Sep 2000;14(3):547-63, vii. [Medline].

  24. Khoury G, Abiad F, Geagea T, Nabout G, Jabbour S. Laparoscopic treatment of hydatid cysts of the liver and spleen. Surg Endosc. Mar 2000;14(3):243-5. [Medline].

  25. Khoury G, Jabbour-Khoury S, Soueidi A, Nabbout G, Baraka A. Anaphylactic shock complicating laparoscopic treatment of hydatid cysts of the liver. Surg Endosc. May 1998;12(5):452-4. [Medline].

  26. Pedrosa I, Saíz A, Arrazola J, Ferreirós J, Pedrosa CS. Hydatid disease: radiologic and pathologic features and complications. Radiographics. May-Jun 2000;20(3):795-817. [Medline].

  27. Pirenne J, Aerts R, Yoong K, Gunson B, Koshiba T, Fourneau I, et al. Liver transplantation for polycystic liver disease. Liver Transpl. Mar 2001;7(3):238-45. [Medline].

  28. Que F, Nagorney DM, Gross JB Jr, Torres VE. Liver resection and cyst fenestration in the treatment of severe polycystic liver disease. Gastroenterology. Feb 1995;108(2):487-94. [Medline].

  29. Seven R, Berber E, Mercan S, Eminoglu L, Budak D. Laparoscopic treatment of hepatic hydatid cysts. Surgery. Jul 2000;128(1):36-40. [Medline].

  30. Smego RA Jr, Bhatti S, Khaliq AA, Beg MA. Percutaneous aspiration-injection-reaspiration drainage plus albendazole or mebendazole for hepatic cystic echinococcosis: a meta-analysis. Clin Infect Dis. Oct 15 2003;37(8):1073-83. [Medline].

  31. Taylor BR, Langer B. Current surgical management of hepatic cyst disease. Adv Surg. 1997;31:127-48. [Medline].

  32. Thomas KT, Welch D, Trueblood A, Sulur P, Wise P, Gorden DL, et al. Effective treatment of biliary cystadenoma. Ann Surg. May 2005;241(5):769-73; discussion 773-5. [Medline].

Keywords

hepatic cyst, liver cyst, simple cysts, cysts liver, liver lesions, liver tumor, liver surgery, liver mass, liver lesion, hydatid cyst, cyst on liver, cysts on liver, solitary nonparasitic cysts of the liver, polycystic liver disease, echinococcosis, PCLD, parasitic cysts, hydatid cysts, echinococcal cysts, cystic tumors, abscesses, Echinococcus granulosus, cystic hepatic lesions, cystadenoma, cystadenocarcinoma, polycystic kidney disease, PKD, autosomal dominant polycystic kidney disease, AD-PKD, jaundice, cholangitis, anaphylactic shock

Contributor Information and Disclosures

Author

Heidi Holman Jackson, MD, Staff Physician, Department of Surgery, University of Utah School of Medicine
Heidi Holman Jackson, MD is a member of the following medical societies: American College of Surgeons, American Medical Women's Association, and Southwestern Surgical Congress
Disclosure: Nothing to disclose.

Coauthor(s)

Sean J Mulvihill, MD, Chief, Professor, Department of Surgery, University of Utah School of Medicine
Sean J Mulvihill, MD is a member of the following medical societies: American College of Surgeons, American Gastroenterological Association, American Pancreatic Association, American Society for Gastrointestinal Endoscopy, Association for Academic Surgery, Society for Surgery of the Alimentary Tract, and Society of University Surgeons
Disclosure: Nothing to disclose.

Medical Editor

Brian James Daley, MD, MBA, FACS, Associate Program Director, Professor, Department of Surgery, Division of Trauma and Critical Care, University of Tennessee School of Medicine
Brian James Daley, MD, MBA, FACS is a member of the following medical societies: American Association for the Surgery of Trauma, American College of Chest Physicians, American College of Surgeons, American Medical Association, Association for Academic Surgery, Association for Surgical Education, Eastern Association for the Surgery of Trauma, Shock Society, Society of Critical Care Medicine, Southeastern Surgical Congress, and Tennessee Medical Association
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

BS Anand, MD, Professor, Department of Internal Medicine, Division of Gastroenterology, Baylor College of Medicine
BS Anand, MD is a member of the following medical societies: American Association for the Study of Liver Diseases, American College of Gastroenterology, American Gastroenterological Association, and American Society for Gastrointestinal Endoscopy
Disclosure: Nothing to disclose.

CME Editor

Paolo Zamboni, MD, Professor of Surgery, Chief of Day Surgery Unit, Chair of Vascular Diseases Center, University of Ferrara, Italy
Paolo Zamboni, MD is a member of the following medical societies: American Venous Forum and New York Academy of Sciences
Disclosure: Nothing to disclose.

Chief Editor

John Geibel, MD, DSc, MA, Vice Chairman, Professor, Department of Surgery, Section of Gastrointestinal Medicine and Department of Cellular and Molecular Physiology, Yale University School of Medicine; Director of Surgical Research, Department of Surgery, Yale-New Haven Hospital
John Geibel, MD, DSc, MA is a member of the following medical societies: American Gastroenterological Association, American Physiological Society, American Society of Nephrology, Association for Academic Surgery, International Society of Nephrology, New York Academy of Sciences, and Society for Surgery of the Alimentary Tract
Disclosure: AMGEN Royalty Other

 
 
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